Continuous Lumbar Cistern Drainage After Craniotomy For Severe Traumatic Brain Injury With Subarachnoid Hemorrhage

Objective： to study the effects of lumbar cerebrospinal fluid drainage after craniotomy insevere craniocerebral injury with subarachnoid hemorrhage (tSAH).Methods：60cases of patients with severe craniocerebral injury with tSAH inpostoperative craniotomy was divided into two groups, treatment group30cases, lines ofcontinued lumbar cerebrospinal fluid drainage pool; The control group,30cases ofmultiple lumbar puncture cerebrospinal fluid; To summarize the effect of two groups oftreatment evaluation.Results: the GCS score of two groups of patients after treatment5,10days latersignificantly improved than before, and5,10days after treatment in treatment group GCSscore was significantly higher than that of control group (P <0.05or P <0.01); Erythrocytein cerebrospinal fluid in the treatment group (100x106/L ahead of time than the controlgroup obviously (P <0.01); Through review of skull CT observation of subarachnoidhemorrhage dissipate following surgery, the treatment group was better than control group(P <0.05); The incidence of postoperative hydrocephalus and cerebral infarction treatmentgroup was obviously lower than the control group (P <0.05); In discharge according toGOS evaluation of prognosis, treatment group is obviously better than that of control group(P <0.05).Conclusion: severe craniocerebral injury with subarachnoid hemorrhage in a large lineearly postoperative lumbar pool can remove hemorrhagic cerebrospinal fluid drainage,reduce the complications and improve the prognosis. Continuous lumbar cistern drainagein its indication under the premise to master is a safe and effective treatment method.