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本文对1960～1992年526例结脑合并严重脑积水的病儿,加用侧脑室穿刺引流治疗。结果:46.6％的脑积水获得控制;暂时缓解占33.8％;无效19.6％。侧引设备简单,易于操作。从尸检、脑CT和后遗症发生率来看,证明侧引是较安全的治疗措施,与后遗症的发生无关。侧引继发感染率为1.8％。多发生在侧引第7天后。本文并对脑积水未控制原因进行了分析。
In this paper, 526 patients with tuberculous and severe hydrocephalus from 1960 to 1992 were treated with lateral ventricle puncture and drainage. Results: 46.6% of hydrocephalus was controlled; temporary relief accounted for 33.8%; ineffective 19.6%. Side guide equipment is simple and easy to operate. From the autopsy, brain CT and the incidence of sequelae point of view, the side proves that the more safe treatment, side effects have nothing to do. Side lead secondary infection rate was 1.8%. Occurred in the side after the first 7 days. This article also did not control hydrocephalus causes were analyzed.