Huang C I, Huang M C, Chen I H, Lee L S
Section of General Neurosurgery, Veterans General Hospital-Taipei, Republic of China.
Ann Acad Med Singap. 1993 May;22(3 Suppl):456-8.
From 1984 to 1991, continuous lumbar drainage (CLD) of cerebrospinal fluid (CSF) had been applied in 48 neurosurgical patients. Eleven of them had CSF accumulation and/or leakage at the operative sites and 37 of them suffered from CSF rhinorrhea. Successful treatment was achieved in 98% (47/48) of patients. There was neither death nor infection noted in this series. Complication was found in only one patient who developed acute subdural haematoma with pneumocephalus six days after CLD. After emergency craniotomy and evacuation of haematoma, the patient recovered without neurological deficit. The results suggest that CLD is a simple, safe and effective method in the treatment of CSF accumulation and/or leakage at the operative sites, as well as CSF rhinorrhea of various aetiologies.
1984年至1991年期间，48例神经外科患者接受了脑脊液持续腰椎引流（CLD）治疗。其中11例患者手术部位出现脑脊液积聚和/或漏液，37例患者患有脑脊液鼻漏。98%（47/48）的患者治疗成功。该系列病例中未出现死亡或感染情况。仅1例患者出现并发症，在CLD术后6天发生急性硬膜下血肿合并气颅。经急诊开颅血肿清除术后，患者康复且无神经功能缺损。结果表明，CLD是治疗手术部位脑脊液积聚和/或漏液以及各种病因所致脑脊液鼻漏的一种简单、安全且有效的方法。
