Lumbar cistern continuous drainage for clinical analysis of 60 cases of craniotomy

Objective To explore the craniotomy aided lumbar continuous drainage treatment of severe head injury mechanisms and effects.Methods Of severe traumatic brain injury after craniotomy,60 patients randomized into treatment group and control group.Treatment of patients in the craniotomy 2 Alfa lumbar continuous drainage,control group patients to the craniotomy 2 Alfa lumbar puncture on the liquid.Results Of the treatment group and control group patients in cerebrospinal fluid in the red blood cell(RBC) 100×106/L time are wound(5.0 ± 2.3) days and(7.1 ± 3.5) days(P0.01);two sets of cerebrospinal fluid protein(TP) 0.8g/L time are wound(8.0 ± 3.6) days and(11.2 ± 4.4) days(P0.01);treatment group after 1 week average intracranial pressure,mannitol dosage is significantly less than the control group;hydrocephalus and cerebral infarction incidence is significantly less than the control group;heavy residual rate,case fatality rate significantly lower than the control group.Conclusion Of the lumbar continuous drainage can be rapid clearance of cerebrospinal fluid in patients with ischemic,auxiliary reduce intracranial pressure,reduce consumption,reduce the complications of mannitol,significantly reducing the heavy residual rate and case fatality rate,improve prognosis.