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目的探讨治疗原发性蛛网膜下腔出血的有效方法。方法应用腰穿脑脊液置换疗法加常规治疗方法对33例原发性蛛网膜下腔出血(SAH)病人进行治疗并设41例病人作为对照组进行对比。结果33例病人经过治疗,头痛、脑膜刺激征在短期内均明显好转,治疗组与对照组比较急性期再出血率差异无统计学意义,脑血管痉挛发生率、脑梗死及交通性脑积水发生率及病死率等差异均有统计学意义(P<0.01)。结论腰脊液置换疗法能迅速改善症状,降低脑血管痉挛及脑积水发生率,提高生活质量,不失为一种简单、安全、可靠、有效的方法,值得推广。
Objective To explore the effective method of treating primary subarachnoid hemorrhage. Methods Thirty-three patients with primary subarachnoid hemorrhage (SAH) were treated with lumbar puncture and cerebrospinal fluid replacement therapy plus conventional therapy. 41 patients were selected as the control group for comparison. Results 33 cases of patients after treatment, headache, meningeal irritation in the short term were significantly improved in the treatment group compared with the control group no significant difference in the rate of rebleeding, cerebral vasospasm, cerebral infarction and traffic hydrocephalus Incidence and mortality differences were statistically significant (P <0.01). Conclusion lumbar spinal fluid replacement therapy can rapidly improve symptoms, reduce the incidence of cerebral vasospasm and hydrocephalus and improve the quality of life, after all, it is a simple, safe, reliable and effective method, which is worth promoting.