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目的探索丘脑及尾核头出血破入脑室第四脑室铸型的治疗方法。方法对47例采用常规治疗和50例采用甘露醇冲击治疗的共97名丘脑及尾核头出血破入脑室第四脑室铸型患者进行回顾分析。比较两种治疗结果的差异。结果常规治疗组死亡13例,出现脑积水24例,上消化道出血11例,24小时意识转清25例。冲击治疗组死亡4例,出现脑积水15例,上消化道出血4例,24小时意识转清42例。结论甘露醇冲击治疗有助于脑出血急性期,血液由第四脑室流入蛛网膜下腔,减轻第四脑室铸型患者的临床症状,降低患者的死亡率。
Objective To explore the treatment of thalamic and caudate nucleus hemorrhage into the ventricle fourth ventricle mold. Methods A total of 97 patients with tympanic and caudate nucleus hemorrhage ruptured into the ventricle fourth ventricle cast by conventional therapy and 50 patients treated with mannitol were retrospectively analyzed. Differences between the two treatment outcomes were compared. Results In the conventional treatment group, 13 cases died, 24 cases had hydrocephalus, 11 cases had upper gastrointestinal bleeding, and 25 cases had clear consciousness in 24 hours. In the impact treatment group, 4 patients died, 15 patients had hydrocephalus, 4 patients had upper gastrointestinal bleeding, and 24 patients had consciousness clear in 42 patients. Conclusion Mannitol shock treatment is helpful for acute cerebral hemorrhage. Blood flows into the subarachnoid space from the fourth ventricle and relieves the clinical symptoms of the fourth ventricle cast patients and reduces the mortality rate.