脑室出血是一种发病凶险、临床表现严重、预后差、死亡率高的多发病。我科采用单纯内科保守治疗和保守治疗加双侧脑室引流配合腰穿脊液置换治疗重症脑室出血36例,现将结果分析如下。 1 资料 36例均为一侧或双侧形成脑室铸型的重型脑室出血。其中原发性脑室出血12例,继发性脑室出血24例(其中丘脑出血14例,内囊出血8例,尾状核出血2例)。男性21例,女性15例。年龄20～74岁,平均年龄58岁。神经功能缺失积分在33～40之间,全部患者均经头颅CT证实为全脑室出血或全脑室出血加蛛网膜下腔出血。按入院先后随 Ventricular hemorrhage is a frequently-occurring disease, clinical manifestations, poor prognosis, high incidence of multiple morbidity. Simple treatment of our department with conservative treatment and conservative treatment plus bilateral ventricular drainage with lumbar intervertebral disc replacement for severe intraventricular hemorrhage in 36 cases, the results are as follows. 1 Materials 36 cases were one or both of the formation of intraventricular hernia heavy ventricular hemorrhage. Including 12 cases of primary ventricular hemorrhage, 24 cases of secondary ventricular hemorrhage (including 14 cases of thalamic hemorrhage, 8 cases of internal capsule hemorrhage, caudate nucleus bleeding in 2 cases). 21 males and 15 females. Age 20 ~ 74 years old, average age 58 years old. Neurological deficit score between 33 to 40, all patients were confirmed by cranial CT for intraventricular hemorrhage or intraventricular hemorrhage plus subarachnoid hemorrhage. Press the hospital has followed