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目的探讨持续终池控速引流治疗外伤性蛛网膜出血的临床应用价值。方法选择以 Fisher分级 ～ 级的外伤性蛛网膜下腔出血患者 35例 (观察组 ) ,所有病例均无手术指征 ;随机对照组 30例。两组其它治疗措施相同 ,观察组加用持续终池控速引流。结果观察组病死率、外伤性脑积水及脑梗死发生率均明显低于对照组 (P<0 .0 5 )。结论终池持续控速引流治疗外伤性蛛网膜下腔出血不失为有效的治疗措施 ,但应注意防止持续低颅压的存在
Objective To investigate the clinical value of continuous end-controlled rate drainage in the treatment of traumatic arachnoid hemorrhage. Methods Thirty-five patients (observation group) with traumatic subarachnoid hemorrhage of grade-F were divided into two groups. All cases were without operation indication and 30 were randomized control group. The other two groups of the same treatment, the observation group plus sustained end-controlled rate of drainage. Results The mortality rate, traumatic hydrocephalus and cerebral infarction in observation group were significantly lower than those in control group (P <0.05). Conclusion The continuous control of the final drainage rate of drainage treatment of traumatic subarachnoid hemorrhage is an effective treatment, but should be taken to prevent the existence of sustained low intracranial pressure