ABSTRACT
Objective To study the curative effect of continuous alternant drainage surgery on improved central venous catheter cerebellomedullary cistern and continuous alternative drainage of ventricle in treating cerebroventricular hemorrhage.Methods 118 cases of patients with cerebroventricular hemorrhage were randomly divided into two groups:the improve group(n=59)was applied with continuous alternative drainage of ventricle and improved central venous catheter cerebellomedullary cistern,and the control group(n=59)was applied with traditional drainage of ventricle combined with lumbar centesis.Results In the improved group 3 cases(5.1%)died,and 7 cases(11.9%)developped with obstructive waterhead.In control group 8 cases(13.6%)died,and 15 cases(25.4%)developped with obstructive waterhead.The cleanup speed of cerebroventricular hemorrhage for patients in the improved group was much faster than that in the control group(P＜0.01).The curative effect of the improved group was distinctly better than that of the control group(P＜0.05).Conclusion Cerebroventricular hemorrhage treated by continuous alternative drainage of ventricle and the improved central venous catheter cerebellomedullary cistern and and continuous alternative drainage of ventricle can distinctly reduce mortality,deformity,complication and sequelae.
ABSTRACT
This study carried out on 72 patients with secondary cerebroventricular hemorrhage and 115 patients with cerebral hemorrhage, without cerebroventricular apoplexy. The results showed that the cerebral hemorrhage in any area could lead to secondary cerebroventricular apoplexy. 65% of cases with thalamic hemorrhage had cerebroventricular apoplexy. The dimension of blood clot in the secondary cerebroventricular hemorrhage was larger than this in the cerebro parenchyma hemorrhage without apoplexy. The clinical characteristics included sudden crisis, conscious disorder, and cerebral stimulation. The mortality rate was 25%.