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目的 总结13例蛛网膜下腔出血(SAH)患者中枢性呼吸骤停的抢救体会,探讨椎管引流术治疗SAH呼吸骤停的可行性。方法 对非脑疝的SAH导致呼吸骤停病人在常规抢救的同时,早期进行大引流量、多次的椎管引流术。结果 本组13例存活8例,5例可恢复原工作,自发性SAH比外伤性SAH效果好。结论 加用椎管引流术有助于抢救非脑疝的SAH呼吸骤停,只要掌握适应证,可获较好效果且后遗症少。
Objective To summarize the rescue experience of central respiratory arrest in 13 patients with subarachnoid hemorrhage (SAH) and explore the feasibility of spinal drainage for the treatment of SAH resuscitation. Methods Non-herniation of SAH caused respiratory arrest in patients with conventional rescue at the same time, early large drainage, multiple spinal drainage. Results The group of 13 patients survived in 8 cases, 5 cases can resume the original work, spontaneous SAH than traumatic SAH good effect. Conclusions The addition of spinal canal drainage is helpful in rescuing non-herniated SAH respiratory arrest. As long as indications are obtained, good results and fewer sequelae may be obtained.