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目的探讨重型脑室出血的有效治疗方法。方法采用单纯内科治疗(非手术组)和侧脑室引流并脑脊液置换并加内科治疗(手术组)治疗重型脑室出血。结果手术组血肿清除时间缩短,总有效率(86.7%)、治愈率(46.7%),明显高于非手术组(P<0.01),而病死率低于非手术组(P<0.01)。结论侧脑室引流并脑脊液置换是一种治疗有效的治疗重型脑室出血的方法。
Objective To discuss the effective treatment of severe intraventricular hemorrhage. Methods Severe ventricular hemorrhage was treated with simple medical treatment (non-operation group) and lateral ventricle drainage with cerebrospinal fluid replacement and medical treatment (operation group). Results The time of hematoma removal in the operation group was shortened. The total effective rate (86.7%) and cure rate (46.7%) were significantly higher than those in the non-operation group (P <0.01), while the mortality was lower than that in the non-operation group (P <0.01). Conclusion Lateral ventricular drainage and cerebrospinal fluid replacement is a effective treatment for severe intraventricular hemorrhage.