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目的探讨重型脑室出血的治疗方法。方法采用侧脑室外引流加腰穿脑脊液置换对31例重型脑室出血的患者进行治疗。结果31例重型脑室出血患者抢救成功率90.3%,病死率9.7%,存活患者随访日常生活能力(ADL)Ⅰ级61.9%,ADLⅡ级23.8%,ADLⅢ级14.3%。结论侧脑室外引流加腰穿脑脊液置换术治疗重型脑室出血是一种安全有效的治疗方法。
Objective To investigate the treatment of severe intraventricular hemorrhage. Methods Thirty-one patients with severe intraventricular hemorrhage were treated by lateral ventrodial drainage combined with replacement of cerebrospinal fluid. Results The success rate of rescue in 31 patients with severe intraventricular hemorrhage was 90.3%, and the case fatality rate was 9.7%. Survival patients had 61.9% of patients with ADL Ⅰ, 23.8% of ADL Ⅱ and 14.3% of AD Ⅲ. Conclusion It is a safe and effective treatment for severe intraventricular hemorrhage in patients with lateral ventricle drainage combined with cerebrospinal fluid replacement.