Study on Effect of Continuous Lumbar Drainage of Cerebrospinal Fluid in Patients With Traumatic Subarachnoid Hemorrhage

Objective To observe the effect of continuous lumbar drainage of cerebrospinal fluid(CLDCF) on the traumatic subarachnoid hemorrhage through a meditronic tube. Methods Comparison of the treatment results of 54 patients with tSAH treated through CLDCF and 43 patients as the control group treated with routine daily lumbar puncture (LP) was performed. Both groups were treated through LP within 24h or 48h. The control group was let out hemorrhagic cerebrospinol fluid (CSF) through LP daily. The daily amount and the average amount of CSF were 10～70ml and 35.6ml respectively. Results After the 5-day treatment, the counts of GCS of the treatment group were significantly higher than those of the control group. The counts of Fisher in the treatment group were significantly higher than those of the control group after the 5-day and the 10-day treatment respectively. The counts of GOS were significantly different between the two groups after the 3-month treatment. The incidence rate of post-traumatic hydrocephalus and the flow rate of hemorrhagic cerebrospinol fluid (CSF) showed significant differences between the two groups in the 3～8-month follow-up. Conclusion Compared with the traditional treatment, CLDCF is more safe and effective in treatment of traumatic subarachnoid hemorrhage and it can accelerate the recovery of disease.