Clinical efficacy of puncture and drainage with self-made double-lumen drainage catheter for patients with hypertensive intracerebral hemorrhage
WANG Jian-bing
HUANG Zhe
ZHANG Ya-fei
Abstract：Objective To explore the therapeutic effectiveness of puncture and drainage with self-made double-lumen drainage catheters for patients with hypertensive intracerebral hemorrhage (HICH). Methods The clinical data of 52 patients with HICH treated by puncture and drainage with self-made double-lumen drainage catheters from January 2019 to January 2022 were retrospectively analyzed. Results There were 26 cases of basal ganglia hemorrhage,12 cases of thalamic hemorrhage,8 cases of lobar hemorrhage,and 6 cases of primary intraventricular hemorrhage;11 cases had secondary hemorrhage into the ventricles;the hemorrhage volume ranged from 20 to 70 ml,with an average of (51±12) ml. Head CT reexamination 3 days after the operation showed that the clearance rate was above 85％. There were 4 cases of postoperative rebleeding,2 cases of intracranial infection,2 cases of death,and 3 cases of treatment abandonment. Forty-seven cases were followed up for 6～12 months after discharge. The classification of activities of daily living was grade Ⅰ in 10 cases,grade Ⅱ in 13 cases,grade Ⅲ in 16 cases,grade Ⅳ in 6 cases,and grade Ⅴ in 2 cases. Conclusion Puncture and drainage with self-made double-lumen drainage catheters for patients with HICH has sufficient hematoma drainage,can prevent rebleeding,has a low risk of postoperative tube blockage and retrograde infection,and has a good therapeutic effectiveness.
Keywords：Hypertensive intracerebral hemorrhagePuncture drainageSelf-made double-lumen drainage catheterEfficacy
Publication Date：2024-09-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 541-543 )