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目的 报告 92例高血压脑出血破入脑室病人 ,对其临床表现及头颅CT进行综合分析 ,并对其早期诊断、治疗抉择和预后进行探讨。方法 92例高血压脑出血破入脑室患者 ,单纯采取内科治疗 18例 ,腰大池持续外引流 13例 ,锥颅双侧脑室外引流 2 4例 ,采取开颅血肿清除及对侧脑室外引流 3 7例。结果 单纯内科治疗 18例患者 ,治愈率 44 % ,好转率 2 2 % ,死亡率 3 3 % ;腰大池持续外引流及锥颅双侧脑室外引流 3 7例 ,其治愈 5 9% ,好转率 2 7% ,死亡率 13 % ;采取开颅血肿清除及对侧脑室外引流 3 7例 ,其中治愈率 43 % ,好转率 40 % ,死亡率 16%。结论 经综合分析 ,发现影响本病预后因素是多方面的 ,及早采取有效的治疗措施并加强并发症的防治 ,对挽救病人的生命是至关重要的。
Objective To report 92 cases of patients with hypertensive intracerebral hemorrhage breaking into ventricles and to analyze their clinical manifestations and cranial CT comprehensively. And to explore their early diagnosis, treatment choice and prognosis. Methods Ninety-two patients with hypertensive intracerebral hemorrhage who had penetrated into the ventricles were enrolled in the study. Eighteen cases were treated with internal medicine, 13 cases with continuous external drainage of the lumbar cistern and 24 cases with bilateral extracerebral ventriculostomy. 7 cases. Results In the simple medical treatment of 18 patients, the cure rate was 44%, the rate of improvement was 22% and the mortality rate was 33%. The lumbar cistern continued drainage and the cranial foramen bifocal external drainage of 37 cases, the cure rate was 59% 2 7%, the mortality rate was 13%; craniotomy hematoma removal and contralateral ventricular drainage in 37 cases, of which 43% cure rate, improvement rate of 40%, the mortality rate of 16%. Conclusion After comprehensive analysis, it is found that there are many factors influencing the prognosis of this disease. It is very important to take effective treatment measures and strengthen the prevention and treatment of complications as early as possible to save patients’ lives.