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目的：探讨内科治疗蛛网膜下腔出血的方法。方法：治疗组４５例，腰穿放脑脊液，每次１０～１５ｍｌ，然后注入生理盐水 ５～１０ｍｌ，再放脑脊液再注入生理盐水，如此反复共置换脑脊液４０～６０ｍｌ，每１～２ｄ置换一次，共３～５次。对照组３７例，仅做腰穿，化验脑脊液协助诊断。全部病例均给降颅压、止血、抗纤溶、预防并发症等综合治疗。结果：治疗组疗效明显优于对照组。治疗组头痛症状缓解快，病程短，并发症少，６～１１ｄ脑压及脑脊液大多恢复正常。再出血２例，死亡１例，脑血管痉挛致脑梗塞１例，平均住院４周。对照组，头痛头晕症状持续时间长，甘露醇用量大、病程长，并发症多，脑压及脑脊液恢复多在３～４周，再出血８例，死亡４例，脑血管痉挛致脑梗塞偏瘫４例。不同程度脑积水伴智力减退３例，住院时间均在５周以上。结论：该方法疗效肯定，并发症少，操作简便，易于推广。
Objective: To explore the method of medical treatment of subarachnoid hemorrhage. Methods: In the treatment group, 45 cases were treated by lumbar puncture with cerebrospinal fluid (10-15ml each time), then 5 ~ 10ml of normal saline was injected into the cerebrospinal fluid and then normal saline was added into the cerebrospinal fluid. The cerebrospinal fluid was repeatedly cocultivated for 40-60ml once per 1-2 days, A total of 3 to 5 times. Control group, 37 cases, only to do lumbar puncture, cerebrospinal fluid test to help diagnose. All patients were given intracranial pressure, hemostasis, anti-fibrinolysis, complications and other comprehensive prevention and treatment. Results: The treatment group was significantly better than the control group. Treatment group headache symptoms relieved quickly, short course, fewer complications, 6 ~ 11d mostly intracranial pressure and cerebrospinal fluid returned to normal. Rebleeding in 2 cases, 1 case of death, 1 case of cerebral infarction caused by cerebral vasospasm, the average hospitalization for 4 weeks. In the control group, headache and dizziness symptoms persisted for a long time. The dosage of mannitol was large, the course of the disease was long, the complication was high. The recovery of cerebrospinal fluid and cerebrospinal fluid were mostly in 3 to 4 weeks. There were 8 cases of rebleeding, 4 cases of death, 4 cerebral infarction hemiparesis caused by cerebral vasospasm example. Different degrees of hydrocephalus with mental retardation in 3 cases, hospital stay in more than 5 weeks. Conclusion: The method is effective, less complications, easy to operate, easy to promote.