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目的探讨烟雾病脑室出血的临床特征及硬通道穿刺引流治疗烟雾病脑室出血的疗效。方法回顾性分析13例烟雾病脑室出血患者的临床表现,应用硬通道穿刺引流治疗烟雾病脑室出血。结果 13例烟雾病脑室出血患者CTA检查显示Suzuki分级Ⅱ级3例,Ⅲ级4级,Ⅳ级6例;13例患者均存在脉络膜前动脉异常扩张合并后交通动脉扩张;5例患者合并动脉瘤。13例患者均予急诊硬通道侧脑室穿刺引流,全部病例脑室血肿清除效果好。结论硬通道穿刺引流治疗烟雾病脑室出血的手术方法简单实用,可操作性强。
Objective To investigate the clinical features of intraventricular haemorrhage with moyamoya disease and the curative effect of hard-channel puncture and drainage on ventricular hemorrhage with moyamoya disease. Methods The clinical manifestations of 13 patients with ventricular hemorrhage in moyamoya disease were analyzed retrospectively. Venous haemorrhage was treated with hard-channel puncture and drainage. Results CTA examination showed that there were 3 cases of grade Ⅱ, 6 cases of grade Ⅳ and 6 cases of grade Ⅳ in 13 patients with venomous ventricular hemorrhage. Thirteen patients had abnormal dilatation of anterior choroidal an artery and traffic artery dilatation. Five patients had aneurysm . Thirteen patients were admitted to the emergency department for ventricular puncture and drainage of ventricles, all cases of ventricular hematoma removal effect is good. Conclusion The method of hard-channel puncture and drainage in the treatment of haemorrhagic ventricular hemorrhage is simple, practical and practical.