中国实用神经疾病杂志2017，Vol.20Issue(21)：64-67,4.DOI:10.3969/j.issn.1673-5110.2017.21.017
动脉瘤性蛛网膜下腔出血后不同脑脊液引流方式的疗效对比
Comparison of the curative effect of different cerebrospinal fluid drainage for the patients with aneurysmal sub-arachnoid hemorrhage
摘要
Abstract
Objective To analyze the influence of Lumbar puncture and lumbar pool drainage in the shunt-dependent hydro-cephalus caused by aneurysmal subarachnoid hemorrhage .Methods The medical records of 137 patients with aneurysmal sub-arachnoid hemorrhage treated in the Second Affiliated Hospital of Fujian Medical University from January 2013 to September 2016 were retrospectively studied .The effects of lumbar puncture and lumbar pool drainage in prevention of shunt dependency hydro-cephalus after aSAH were analyzed .Results Of 137 patients ,36(26.28% ) underwent shunt operation to treat shunt-dependent hydrocephalus .Compare with the incidence of hydrocephalus in the group of lumbar puncture and lumbar pool drainage that the patients with Fisher grade Ⅰ-Ⅱ ,no obvious difference was found .But the difference was obvious in the patients with Fisher gradeⅢ-Ⅳ .Conclusion The aSAH patients with Fisher grade Ⅲ-Ⅳare more likely to avoid the shunt-depended hydrocephalus by con-tinuous lumbar cisterna drainage .And the aSAH patients with Fisher gradeⅠ-Ⅱ maybe just need lumbar puncture to avoid the shunt-depended hydrocephalus .关键词
动脉瘤性蛛网膜下腔出血/腰穿/腰大池引流/脑积水/Fisher分级Key words
Aneurysmal subarachnoid hemorrhage/Lumbar puncture/Lumbar cistern drainage/Hydrocephalus/Fisher g rade分类
医药卫生引用本文复制引用
邱伟智,黄金钟..动脉瘤性蛛网膜下腔出血后不同脑脊液引流方式的疗效对比[J].中国实用神经疾病杂志,2017,20(21):64-67,4.基金项目
泉州市科技计划项目(2016Z049) （2016Z049）
