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目的:探讨侧脑室前角穿刺脑脊液外引流治疗高血压丘脑出血破入脑室患者的临床效果。方法:回顾性分析2005年1月至2010年12月应用侧脑室前角单侧或双侧穿刺外脑脊液引流治疗39例高血压丘脑出血破入脑室患者的临床效果(ADL分级)。结果:39例高血压丘脑出血破入脑室患者死亡8例,占20.51%,存活者31例,占79.49%。对存活者随访3个月,按日常生活能力(ADL)分级,ADL1～3级23例,占74.19%,ADL4级7例,占22.58%,ADL5级1例,占3.23%。结论:侧脑室前角穿刺脑脊液外引流术治疗高血压丘脑出血破入脑室者是一种操作简单、损伤小、有效的治疗方法。
Objective: To investigate the clinical effect of lateral ventricular anterior cross puncture cerebrospinal fluid drainage in the treatment of patients with hypertensive thalamic hemorrhage penetrating ventricles. Methods: The clinical results (ADL grading) of 39 patients with hypertensive thalamic hemorrhage penetrating ventricles were retrospectively analyzed from January 2005 to December 2010. Results: Thirty-nine patients with hypertensive thalamic hemorrhage who had ruptured into the ventricle died in 8 cases (20.51%) and 31 survived (79.49%). Survival patients were followed up for 3 months. According to ADL, 23 cases were ADL1 ~ 3, accounting for 74.19%. ADL4 grade was 7 cases (22.58%) and ADL5 grade was 3.23%. Conclusion: The anterior lateral ventricle puncture cerebrospinal fluid drainage for treatment of hypertensive thalamic hemorrhage into the ventricle is a simple, less invasive and effective treatment.