蛛网膜下腔出血(SAH)。临床上根据脑膜刺激症状、大脑半球症状(偏瘫、失语、精神错乱)及意识障碍程度分为5级。其中Ⅰ—Ⅱ级一般应尽早脑血管造影及手术治疗,对于Ⅲ—Ⅴ级重度出血病人,传统上采用脱水、止血及腰穿脑脊液置换等治疗,但疗效欠佳。近3年来,我们用脑室引流结合脱水药物等治疗重度SAH病人5例,疗效满意,报道如下。 Subarachnoid hemorrhage (SAH). Clinically based on meningeal irritation symptoms, hemispheric symptoms (hemiplegia, aphasia, confusion) and degree of disturbance is divided into five levels. Which Ⅰ-Ⅱ level should be as early as possible cerebral angiography and surgical treatment of severe bleeding for the Ⅲ-Ⅴ level, traditionally used dehydration, hemostasis and replacement of cerebrospinal fluid replacement therapy, but poor efficacy. In the past three years, we used intraventricular drainage combined with dehydration drugs in the treatment of 5 patients with severe SAH, with satisfactory results, reported as follows.