[1]王建兵,黄喆,张亚飞.自制双腔引流管穿刺引流术治疗高血压性脑出血[J].中国临床神经外科杂志,2024,29(09):541-543.[doi:10.13798/j.issn.1009-153X.2024.09.007]
　WANG Jian-bing,HUANG Zhe,ZHANG Ya-fei.Clinical efficacy of puncture and drainage with self-made double-lumen drainage catheter for patients with hypertensive intracerebral hemorrhage[J].,2024,29(09):541-543.[doi:10.13798/j.issn.1009-153X.2024.09.007]
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自制双腔引流管穿刺引流术治疗高血压性脑出血()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年09期
页码:
541-543
栏目:
论著
出版日期:
2024-09-30

文章信息/Info

Title:
Clinical efficacy of puncture and drainage with self-made double-lumen drainage catheter for patients with hypertensive intracerebral hemorrhage
文章编号:
1009-153X（2024）09-0541-03
作者:
王建兵; 黄喆; 张亚飞
723000 陕西，汉中市人民医院神经外科（王建兵、张亚飞）723000 陕西，汉中市中心医院神经外科（黄　喆）
Author(s):
WANG Jian-bing1;  HUANG Zhe2;  ZHANG Ya-fei1
1. Department of Neurosurgery, Hanzhong People's Hospital, Hanzhong 723000, China; 2. Department of Neurosurgery, Hanzhong Central Hospital, Hanzhong 723000, China
关键词:
高血压性脑出血; 穿刺引流术; 自制双腔引流管; 疗效
Keywords:
Hypertensive intracerebral hemorrhage;  Puncture drainage;  Self-made double-lumen drainage catheter;  Efficacy
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2024.09.007
文献标志码:
A
摘要:
目的 探讨自制双腔引流管穿刺引流术治疗高血压性脑出血的疗效。方法 回顾性分析2019年1月至2022年1月采用自制双腔引流管穿刺引流术治疗的52例高血压性脑出血的临床资料。结果 基底节区出血26例，丘脑出血12例，脑叶出血8例，原发性脑室出血6例；出血破人脑室11例；出血量20~70 ml，平均（51±12）ml。术后3 d复查头部CT显示清除率在85%以上；术后再出血4例，颅内感染2例，死亡2例，放弃治疗3例。47例出院后随访6~12个月，日常生活能力分级Ⅰ级10例，Ⅱ级13例，Ⅲ级16例，Ⅳ级6例，Ⅴ级2例。结论 自制双腔引流管穿刺引流术治疗高血压性脑出血，血肿引流充分，可防治再出血，术后堵管、逆行性感染风险低，疗效良好。
Abstract:
Objective To explore the therapeutic effectiveness of puncture and drainage with self-made double-lumen drainage catheters for patients with hypertensive intracerebral hemorrhage (HICH). Methods The clinical data of 52 patients with HICH treated by puncture and drainage with self-made double-lumen drainage catheters from January 2019 to January 2022 were retrospectively analyzed. Results There were 26 cases of basal ganglia hemorrhage, 12 cases of thalamic hemorrhage, 8 cases of lobar hemorrhage, and 6 cases of primary intraventricular hemorrhage; 11 cases had secondary hemorrhage into the ventricles; the hemorrhage volume ranged from 20 to 70 ml, with an average of (51±12) ml. Head CT reexamination 3 days after the operation showed that the clearance rate was above 85%. There were 4 cases of postoperative rebleeding, 2 cases of intracranial infection, 2 cases of death, and 3 cases of treatment abandonment. Forty-seven cases were followed up for 6~12 months after discharge. The classification of activities of daily living was grade Ⅰ in 10 cases, grade Ⅱ in 13 cases, grade Ⅲ in 16 cases, grade Ⅳ in 6 cases, and grade Ⅴ in 2 cases. Conclusion Puncture and drainage with self-made double-lumen drainage catheters for patients with HICH has sufficient hematoma drainage, can prevent rebleeding, has a low risk of postoperative tube blockage and retrograde infection, and has a good therapeutic effectiveness.

参考文献/References:

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备注/Memo

备注/Memo:
（2023-03-02收稿，2024-01-09修回）
通信作者：张亚飞，Email：347100613@qq.com
更新日期/Last Update: 2024-09-30