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目的 探讨CT定位脑内血肿多靶点置管加侧脑室穿刺置管外引流治疗重症脑溢血的优点。方法 观察 33例CT定位脑内血肿多靶点置管加侧脑室穿刺置管外引流治疗重症脑溢血病人 ,与本院前期病人作比较。结果 自 2 0 0 2年 1月起我院应用立体定向仪在CT定位脑内多靶点血肿碎吸置管加侧脑室穿刺置管外引流治疗 33例 ,治疗后日常生活能力 (ADL) (1+2 +3)共 2 9例 ,占 89 9% ,死亡 3例 ,占 9 1% ,而2 0 0 1年ADL(1+2 +3)占 5 5 6 % ,死亡病例占 2 2 2 % ,两者比较差异有显著意义 ,P <0 0 1)。结论 CT定位脑内血肿多靶点置管加侧脑室穿刺置管外引流治疗重症脑溢血有明显优点。
Objective To investigate the advantages of CT-targeted intracerebral hematoma multi-target catheter plus lateral ventricular catheterization for severe cerebral hemorrhage. Methods 33 cases of CT-targeted intracranial hematoma multi-target catheter plus lateral ventricle catheter drainage in patients with severe cerebral hemorrhage were observed and compared with the pre-hospital patients. Results Since January 2002, 33 patients underwent CT stereotactic brain tridimensional cannulation and lateral ventricle catheter drainage in our hospital with stereotactic apparatus. From January to December 2002, ADL (ADL) 1 + 2 + 3), 29 cases (89.9%) and 3 deaths (9 1%), while ADL (1 + 2 +3) accounted for 65.6% in 2001 and deaths were 2 2 2%, the difference between the two was significant (P <0.01). Conclusion CT-targeted intracerebral hematoma multi-target catheter plus lateral ventricular catheter drainage for treatment of severe stroke has obvious advantages.