Chen Y, Chang F, Wang Z
262th Hospital of P.L.A, Beijing.
Zhonghua Jie He He Hu Xi Za Zhi. 1996 Oct;19(5):297-9.
To decrease intracranial pressure rapidly and cure the secondary hydrocephalus of tuberculous meningitis.
Every case was drained at the frontal horn of lateral ventricle of non-predominant cerebral hemisphere, injected the mixture of 100 mg isoniazid and 2 mg dexamethasone into the lateral ventricle through ventricular drainage tube once every two days or once every day in some severe cases.
The high intracranial pressure of 23 cases suffered from tuberculous meningitis were immediately decreased to normal level. The symptoms of 8 cases complicated with brain hernia were quickly improved. The cerebrospinal fluid became normal within 2-4 weeks after lateral ventricular drug injection.
Lateral ventricular drainage and drug injection can obtain good result and provide a new approach to treatment of secondary hydrocephalus cases suffered from tuberculous meningitis.
迅速降低颅内压，治疗结核性脑膜炎继发性脑积水。
每例均于非优势大脑半球侧脑室额角进行引流，通过脑室引流管每两天向侧脑室内注入100mg异烟肼与2mg地塞米松的混合液，部分重症病例每天注入一次。
23例结核性脑膜炎患者的高颅内压立即降至正常水平。8例合并脑疝的患者症状迅速改善。侧脑室注药后2 - 4周脑脊液恢复正常。
侧脑室引流及注药可取得良好效果，为结核性脑膜炎继发性脑积水病例的治疗提供了新途径。
