Observation of therapecutic effect of the continuous external drainage of cerebrospinal fluid of bilateral ventricle combined with lumbar cisterna puncture on the treatment of total ventricular hemorrhage.

Objective To investigate the effective methods of treament of total ventricular hemorrhage by comparing the result of two kinds of methods of therapy: combining the continuous external drainage of cerebrospinal fluid of bilateral ventricle with lumbar cisterna puncture and only the former. Methods Sixty-six patients diagnosed by CT scanning were randomly divided into two groups: ⑴Group A(34 cases) were treated with the continuous external drainage of cerebrospinal fluid of bilateral ventricle combined with lumbar cisterna puncture; ⑵Group B(32 cases) were treated with only the continous external drainage of cerebrospinal fluid of bilateral ventricle.The amount of total ventricular hemorrhage and obstructive hydrocephalus on the 4th,7th,10th,14th,and 21st day after treatment and the occurring rate of communicative hydrocephalus in the first month, 3th month, 6th month after treatment were observed, and the therapecutic effect after 6 month treatment was accessed. Results The duration of total drainage of ventricular hemorrhage was as following: group A 4～10d(average 6.3d), group B 10～21d(average 13.6d); the whole recovery and partial recovery: groupA 73.53%, group B 37.5%;the death rate:group A 11.76%, group B 34.38%; the occurring rate of communicative hydrocephalus:group A zero(0%),group B 5 cases. Conclusion The continuous external drainage of cerebrospinal fluid of bilateral ventricle combined with lumbar cistema puncture could shorten the duration of ventricular hemorrhage more than the therapy of the continuous external drainage of cerebrospinal fluid of bilateral ventricle,effectively prevent the occurring of communicative hydrocepha-lus, decrease the death rate, and improve the ability of daily lives.