我们选择蛛网膜下腔出血(SAH)病人46例,应用腰穿配合可控三通管置换脑脊液治疗,取得明显效果,现报告如下。 1 一般资料 46例患者,男28例,女18例。有高血压病史者28例,有头痛史者11例。13例有轻偏瘫,9例有不同程度的精神症状,7例有癫痫发作,5例不完全性失语。 2 病例选择 发病24小时后,诊断明确,CT检查颅内无并发大的(25ml以上)血肿。40岁以上,脑膜刺激征明显,颅内压轻度升高或正常者效果更好。 3 方法 We choose 46 patients with subarachnoid hemorrhage (SAH), the application of lumbar puncture with controlled tee tube replacement therapy, achieved significant results are as follows. 1 General Information 46 patients, 28 males and 18 females. There are 28 cases of history of hypertension, history of headache in 11 cases. 13 cases had hemiparesis, 9 cases had different degrees of mental symptoms, 7 cases had seizures, 5 cases of incomplete aphasia. 2 cases of choice 24 hours after the onset, the diagnosis is clear, CT examination intracranial no complicated with large (25ml) hematoma. 40 years of age, significant meningeal irritation, mild intracranial hypertension or normal effect is better. 3 methods