论文部分内容阅读
目的 探讨儿童重症脑室出血的治疗方法。方法 采用内科疗法加双侧脑室交替引流并腰穿脑脊液置换法 ,治疗 8例儿童重症脑室出血。观察血肿基本清除率、治愈率、总有效率、日常生活活动能力 (ADL)Barthel评分。结果 治疗 15天血肿基本清除率为 10 0 % ,治愈率 5 0 %、总有效率 75 % ,随访半年ADL生存质量高。结论 内科治疗结合双侧侧脑室引流加腰穿脑脊液置换是一种简便、安全、有效的治疗儿童重症脑室出血的方法。
Objective To explore the treatment of severe intraventricular hemorrhage in children. Methods Eighty children with severe intraventricular hemorrhage were treated with medical therapy plus alternating bilateral ventricle drainage and lumbar puncture and cerebrospinal fluid replacement. The basic hematoma clearance rate, cure rate, total effective rate, daily living activity (ADL) Barthel score were observed. Results The basic hematoma clearance rate was 100%, the cure rate was 50% and the total effective rate was 75% after 15 days of treatment. The quality of life of the ADL patients were followed up for six months. Conclusion Internal medicine combined with bilateral lateral ventricle drainage and lumbar puncture and cerebrospinal fluid replacement is a simple, safe and effective method for treating severe intraventricular hemorrhage in children.