脑出血破入脑室的外科治疗进展
Progress in the Surgical Treatment of Intracerebral Hemorrhage Breaking into the Cerebral Ventricle
摘要: 脑出血破入脑室为脑出血的严重并发症，其致死率、致残率高，患者往往预后不良，因此及时有效的治疗方法显得尤为重要。而外科手术治疗较保守治疗而言其优势明显，可明显改善患者预后，提高生存质量。现就脑出血破入脑室的外科治疗作如下综述，以便为以后相关方面的研究和治疗提供新的思路。
Abstract: Intracerebral hemorrhage breaking into the cerebral ventricle is a serious complication of intracerebral hemorrhage, with high mortality and disability rate and poor prognosis. Therefore, timely and effective treatment is particularly important. Surgical treatment has obvious advantages over conservative treatment, which can significantly improve the patient’s prognosis and improve the quality of survival. The surgical treatment of intracerebral hemorrhage breaking into the ventricle is now reviewed below, so as to provide new ideas for future research and treatment in relevant aspects.
文章引用：闵昊, 杨小岗. 脑出血破入脑室的外科治疗进展[J]. 临床医学进展, 2021, 11(11): 5444-5449. https://doi.org/10.12677/ACM.2021.1111805

参考文献

[1] 王文娟, 王春雪, 杨中华, 等. 中国脑出血医疗现状及死亡相关因素分析[J]. 中国卒中杂志, 2013, 8(9): 703-711.
[2] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑出血诊治指南(2019) [J]. 中华神经科杂志, 2019, 52(12): 994-1005.
[3] 李流清, 林婷婷. 立体定向技术实施血肿内置管引流结合尿激酶灌注联合腰大池外引流治疗脑干出血的临床分析[J]. 中国实用医药, 2020, 15(1): 48-50.
[4] Flint, A.C., Roebken, A. and Singh, V. (2008) Primary Intraventricular Hemorrhage: Yield of Diagnostic Angiography and Clinical Outcome. Neurocritical Care, 8, 330-336. [Google Scholar] [CrossRef] [PubMed]
[5] 马舒贝, 吉训明, 罗玉敏. 脑出血的研究进展和治疗现状[J]. 中国脑血管病杂志, 2015, 12(5): 272-276.
[6] 刘茂堂, 李磊, 刘磊, 等. 微创穿刺引流加腰大池引流治疗破入脑室系统脑出血的治疗体会[J]. 中国医药指南, 2014, 13(7): 117-118.
[7] 王忠诚. 神经外科学[M]. 武汉: 湖北科学技术出版社, 2015: 829-836.
[8] Graeb, D.A., Robertson, W.D., Lapointe, J.S., et al. (1982) Computed Tomographic Diagnosis of Intraventricular Hemorrhage. Etiology and Prognosis. Radiology, 143, 91-96. [Google Scholar] [CrossRef] [PubMed]
[9] LeRoux, P.D., Haglund, M.M., Newell, D.W., et al. (1992) Intraventricular Hemorrhage in Blunt Head Trauma: An Analysis of 43 Cases. Neurosurgery, 31, 678-684. [Google Scholar] [CrossRef] [PubMed]
[10] Hallevi, H., Dar, N.S., Barreto, A.D., et al. (2009) The IVH Score: A Novel Tool for Estimating Intraventricular Hemorrhage Volume: Clinical and Research Implications. Critical Care Medicine, 37, 969-e1. [Google Scholar] [CrossRef] 
[11] Hinson, H.E., Hanley, D.F. and Ziai, W.C. (2010) Management of Intraventricular Hemorrhage. Current Neurology and Neuroscience Reports, 10, 73-82. [Google Scholar] [CrossRef] [PubMed]
[12] Morgan, T.C., Dawson, J., Spengler, D., et al. (2013) The Modified Graeb Score: An Enhanced Tool for Intraventricular Hemorrhage Measurement and Prediction of Functional Outcome. Stroke, 44, 635-641. [Google Scholar] [CrossRef] 
[13] 王立平, 郝仲芳, 李蕴琛. 脑室外引流治疗脑室出血(附10例报告) [J]. 中国煤炭工业医学杂志, 2004, 7(6): 500-501.
[14] Gebel, J. and Sila, C.A. (2000) Decreased Perihematomal Edema in Thrombolysis-Related Intracerebral Hemorrhage Compared with Spontaneous Intracerebral Hemorrhage. Stroke, 31, 596-600. [Google Scholar] [CrossRef] 
[15] 韩庆顺, 许友松, 姚轶群, 等. 高血压脑出血外科治疗影响预后因素临床分析[J]. 现代康复, 2000, 4(5): 720-721.
[16] Du, B., Wang, J., Zhong, X.L., et al. (2014) Single versus Bilateral External Ventricular Drainage for Intraventricular Fibrinolysis Using Urokinase in Severe Ventricular Haemorrhage. Brain Injury, 28, 1413-1416. [Google Scholar] [CrossRef] [PubMed]
[17] Nieuwkamp, D.J., De Gans, K., Rinkel, G.J., et al. (2000) Treatment and Outcome of Severe Intraventricular Extension in Patients with Subarachnoid or Intracerebral Hemorrhage: A Systematic Review of the Literature. Journal of Neurology, 247, 117-121. [Google Scholar] [CrossRef] 
[18] Staykov, D., Bardutzky, J., Huttner, H.B., et al. (2011) Intraventricular Fibrinolysis for Intracerebral Hemorrhage with Severe Ventricular Involvement. Neurocritical Care, 15, 194-209. [Google Scholar] [CrossRef] [PubMed]
[19] Baker, A.D., River, A., Perla, K.M., et al. (2018) Fibrinolytic for Treatment of Intraventricular Hemorrhage: A Meta-Analysis and Systematic Review. International Journal of Stroke, 13, 11-23. [Google Scholar] [CrossRef] [PubMed]
[20] Chi, F.L., Lang, T.C., Sun, S.J., et al. (2014) Relationship between Different Surgical Methods, Hemorrhage Position, Hemorrhage Volume, Surgical Timing, and Treatment Outcome of Hypertensive Intracerebral Hemorrhage. World Journal of Emergency Medicine, 5, 203-208. [Google Scholar] [CrossRef] [PubMed]
[21] Wang, W.H., Hung, Y.C., Hsu, S.P.C., et al. (2015) Endoscopic Hematoma Evacuation in Patients with 35 Spontaneous Supratentorial Intracerebral Hemorrhage. Journal of the Chinese Medical Association, 78, 101-107. [Google Scholar] [CrossRef] [PubMed]
[22] Zhang, G.-L., Wei, K.-C., Zhu, Y.-Z., et al. (2013) Ommaya Joint Capsule Lateral Ventricle Treatment the Other Type Ventricle Thalamus Bleeding. Journal of Aerospace Medicine, 24, 667-668.

为你推荐