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目的探讨脑脊液置换术治疗原发性蛛网膜下腔出血的临床效果。方法对35例经头颅CT确诊的蛛网膜下腔出血患者进行脑脊液置换并鞘注激素及常规治疗,并作对照分析。结果治疗组治疗的有效例数、头痛与颈强持续时间、并发症与对照组差异有统计学意义(P<0.05)。结论腰脊液置换疗法能迅速改善症状,降低脑血管痉挛及脑积水发生率,提高生活质量,是一种简单、安全、可靠、有效的方法。
Objective To investigate the clinical effect of cerebrospinal fluid replacement in the treatment of primary subarachnoid hemorrhage. Methods 35 cases of patients with subarachnoid hemorrhage diagnosed by skull CT were treated with cerebrospinal fluid replacement (CSF) and intrathecal injection of hormones and conventional therapy. Results The effective number of cases treated, the duration of headache and neck strength, complications and the control group were statistically significant (P <0.05). Conclusion lumbar spinal fluid replacement therapy can rapidly improve symptoms, reduce the incidence of cerebral vasospasm and hydrocephalus and improve the quality of life, which is a simple, safe, reliable and effective method.