持续腰大池置管引流在去骨瓣减压术后脑肿胀患者的疗效观察

The clinical effects of lumbar cerebrospinal fluid drainage in TBI patients received decompressive craniectomy

摘要:

目的: 探讨持续腰大池置管引流在脑外伤去骨瓣减压术后患者治疗中的作用.方法: 对62例重型颅脑损伤去骨瓣减压术后患者分为两组,35例行持续腰大池置管后脑脊液引流,严密观察病情变化过程,27例予以常规脱水降颅压治疗,对其预后进行对比临床分析.结果: 置管组35例患者均取得较好的临床疗效,无不良反应.对照组27例患者中2例死亡,4例出现脑脊液漏.结论: 腰大池置管引流是一种通过持续、均匀引流脑脊液降低颅内高压,清除血性脑脊液的方法,安全有效,在脑外伤中具备较好的临床疗效,值得推广.

Abstract:

Objective: To discuss the function of lumbar cerebrospinal fluid drainage,LCFD,in the treatment of patients received decompressive craniectomy.Methods: The 62 TBI patients received decompressive craniectomy were divided into two groups,sustained LCFD with 35 cases and given routine dehydration treatment with 27 cases,each group recorded their courses of disease and analyzed their prognosis.Results: All the 35 patients received good clinical prognosis without adverse effects.There are 2 deaths and 4 cases of cerebrospinal fluid leakage in 27 patients of the control group.Conclusions: LCFD is a safe treatment for drainaging bloody CSF and decreasing intracranial hypertension.It is worthy for spreading with its good clinical effects.