近十多年来,脑脊液(csf)置换疗法在神经系统疾病治疗中应用范围正在不断拓宽,在治疗蛛网膜下腔出血(SAH)、细菌性脑膜炎等所致弥漫性颅内压增高的患者,取得了缩短病程、提高疗效、改善预后的满意效果,而又几乎无脑疝形成。现将csf置换疗法在神经科疾病治疗中应用综述如下。1 csf置换治疗颅内出血1.1 治疗SAH 邱玉存等应用csf置换加地塞米松 For more than a decade, the application of CSF replacement therapy in the treatment of neurological diseases is expanding. In the treatment of patients with diffuse intracranial hypertension such as subarachnoid hemorrhage (SAH) and bacterial meningitis , Has been made to shorten the course of the disease, improve the efficacy and improve the prognosis of the satisfactory results, but almost no hernia formation. Now csf replacement therapy in the treatment of neurological diseases applications are summarized below. 1 csf replacement treatment of intracranial hemorrhage 1.1 SAH Qiu Yu Cun and other applications csf replacement plus dexamethasone