47. 血性髄液の経時的な生化学的変化:-脳室-脳槽ドレナージについて

概要

論文の詳細を見る
In 41 cases of ruptured intracranial aneurysms, combined ventriculo-cisternal drainage and cisternal drainage designed by us was performed after clipping of aneurysms within 48 hours after hemorrhage and the bloody cerebrospinal fluid in the basal cisterns were analyzed.<BR>Mortality rate in this series was 9.3 per cent and symptomatic vasospasm were appeared in 7.3 percent. Out flow cerebrospinal fluid from bilateral cisterns was 300-500ml/day. Total hemoglobin in cerebrospinal fluid within one week after operation was 7.0±3.6g/dl which correspond to 46.7±23.7ml of blood. Lipoperoxide and Vit. E decreased after hemorrhage correlatively having no influence on cerebral vasospasm. Hydrogen ion concentration in the bloody cerebrospinal fluid decreased in all cases.<BR>It may safely be concluded that the ventriculo-cisternal drainage is effective for prevention of cerebral vasospasm.
The Japanese Society on Surgery for Cerebral Strokeの論文