| 周焱峰,高广忠,蒋霖.动脉瘤夹闭术后行持续腰大池外引流58例继发分流依赖性脑积水发生因素分析[J].安徽医药,2019,23(7):1387-1389. |
| 动脉瘤夹闭术后行持续腰大池外引流58例继发分流依赖性脑积水发生因素分析 |
| Analysis of factors related to secondary shunt-dependent hydrocephalus of lumbar drainage after aneurysm clipping |
| 投稿时间：2017-09-12 |
| DOI： |
| 中文关键词: 颅内动脉瘤 持续腰大池外引流 分流依赖性脑积水 危险因素 |
| 英文关键词: Intracranial aneurys Lumbar drainage Shunt-dependent hydrocephalus Risk factors |
| 基金项目: |
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| 摘要点击次数: 2035 |
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| 中文摘要: |
| 目的 探讨动脉瘤夹闭术后行持续腰大池外引流继发分流依赖性脑积水的相关因素,为临床更好的有效预防及治疗提供帮助。方法 回顾性分析泰州市人民医院2011年1月至2016年1月58例动脉瘤夹闭术后行持续腰大池外引流病人,分析术后脑积水的危险因素。结果 Hunt-Hess分级、是否合并脑室出血是继发分流依赖性脑积水的独立危险因素；引流量过少或过多,分流依赖性脑积水的发生率会明显较前增高。结论 动脉瘤术后行持续腰大池外引流,每日引流量应控制在150[KG-*3]～250 mL,引流过多或过少容易增加分流依赖性脑积水发生率；而Hunt-Hess分级较高,合并脑室出血会增加分流依赖性脑积水的发生率。 |
| 英文摘要: |
| Objective To study the factors related to secondary shunt-dependent hydrocephalus of lumbar plexus drainage after aneurysm occlusion,which is helpful for effective prevention and treatment.Methods 58 patients were examined retrospectively from January 2011 to January 2016 in Taizhou People's Hospital.Postoperative hydrocephalus risk factors were analyzed.Results Hunt-Hess grade,combination with ventricular hemorrhage or not were the independent risk factors of secondary induce shunt-dependent hydrocephalus.The excessive or too little drainage was easy to induce shunt-dependent hydrocephalus.Conclusion The postoperative drainage of the aneurysm should be controlled at 150-250 mL,too much or little drainage will induce the incidence of shunt-dependent hydrocephalus.Higher Hunt-Hess grade,posterior circulation aneurysm,combination with ventricular hemorrhage will increase the incidence of shut-dependent hydrocephalus. |
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