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目的:探讨研究自发性脑室出血患者的治疗方法,即个体化治疗方法。方法:选取2010年我科收治的自发性脑室出血患者69例作为研究对象,并将其临床资料进行回顾性的分析。结果:在这69例患者中,有三分之二的患者通过开颅的方式进行治疗、三分之一的患者通过锥孔穿刺引流术方式进行治疗。治疗成功率30.35%,治疗失败率为27.68%;开颅手术组成治疗功率达到了19.15%,穿刺引流组近期治疗成功率34.00%。远期治疗成功率为69.8%,治疗失败率为16.29%;开颅手术组远期治疗成功为62.07%,穿刺引流组远期治疗失败率为81.36%。结论:我们应根据病人的实际病情综合分析自发性脑室出血的情况,采用个体化治疗方案,从而有效提高治疗成功率。
Objective: To explore the treatment of patients with spontaneous ventricular hemorrhage, that is, individualized treatment. Methods: 69 cases of spontaneous ventricular hemorrhage admitted in our department in 2010 were selected as the research object, and the clinical data were retrospectively analyzed. Results: Of these 69 patients, two thirds of patients were treated by craniotomy and one third were treated by taper puncture and drainage. Treatment success rate was 30.35%, treatment failure rate was 27.68%; craniotomy composition treatment power reached 19.15%, puncture and drainage group, the recent treatment success rate of 34.00%. Long-term treatment success rate was 69.8%, treatment failure rate was 16.29%; craniotomy group long-term treatment success was 62.07%, puncture drainage group long-term treatment failure rate was 81.36%. Conclusion: We should be based on the actual condition of patients with a comprehensive analysis of spontaneous ventricular hemorrhage situation, the use of individualized treatment programs, which effectively improve the success rate of treatment.