SU1309965A1 - Method of treatment of patients ill with traumatic subarachnoidal hemorrhage - Google Patents

Abstract

This invention relates to neurotraumatology. In order to shorten the treatment time and reduce the number of complications, the patient is laid on its side on an inclined plane, head up. A lumbar puncture is performed, drug solutions are introduced into the subarachnoid space, and at the same time gas (air) is injected. 00 with co O5 ate

Description

1 .1309965

The invention relates to medicine, namely, neurotraumatology, and can be used to treat patients with traumatic subarachnoid hemorrhage.

The purpose of the invention is to reduce the duration of treatment and reduce the number of complications, which is achieved by improving the circulation of drugs in

even after the first injection, the headaches diminished, the patient calmed down, and the neurologic symptomatology regressed. Liquor sanalovals on the 9th day. The patient was discharged home for 24 days in a satisfactory condition.

The use of the proposed method of treating patients with traumatic

cerebrospinal fluid due to one-O boomeravoidalny hemorrhages

temporary introduction of gas.

The method is carried out as follows.

The patient is laid on its side on an inclined plane head up. A lumbar p-function is carried out, drug solutions are introduced into the subarachnoid space, and at the same time gas bubbles, such as air, are introduced.

Example Patient A, 60 years old, entered Kazan NIKTO after he was shot down. State

heavy motor excitation, poorly oriented, stiffness of the back of the neck. Pulse 92 beats. in 1 min, blood pressure 110/70 mm r-t.st. Liquor is stained with blood, pressure is 200 mm of water. On the background of conservative therapy (bed rest, unloading lumbar punctures, hemostatic, sedatives, dehydration), on the 6th day of staying in the hospital, the red blood cells disappeared from the liquor, but

thirty

provides, in comparison with the prototype and the base object earlier. (for 3-8 days) and a distinct therapeutic effect, which is expressed in the reduction of headaches, regression of neurological symptoms and rehabilitation of the cerebrospinal fluid. Control pneumoencephalography performed on days 10–14 after injuries in patients treated by the proposed method did not in one case reveal pathological changes in the shell spaces of the brain, while in the control group the development of adhesions was observed 50% affected.

The clinical trials conducted also revealed the advantages of the method in terms of increasing the effectiveness of the treatment. So, in the treatment of patients with lidaza and contrakaly by the proposed method, a pronounced therapeutic effect occurred in 81% of cases, satisfactory - in 16.5%., The therapeutic effect was absent in 2.5%, no complications were observed expressed xanthochromia. Co-35 was given. At the same time, with the conventionalism, it remained difficult - severe headaches disturbed, and sometimes motor restlessness was noted. Started treatment by the proposed method .40

The patient is laid on his side with his head up. At the level produced lumbar puncture. Two syringes were attached to the needle cannula through a T-adapter using thin catheters. In one of them was a solution of lidaza (16 units of the drug in 5 ml of the liquor of the same patient), in the other - 10 cm of air. At the same time, the contents of two syringes are entered. A mixture of bubbles and a medicinal product got into the liquor system. The course of treatment consisted of 3 such injections with an interval of 3 days. Marked

For this method, these are still responsible 21.5%, 4% of which is 22.5%. Practical p method

Claims (1)

Formula iso A method of treating a bolus with subarachnoidal disease, which includes a vaginal puncture, is placed on its side, followed by the introduction of a drug shortening of the time to treat the number of complications, one means of which is manipulative a significant improvement in the overall condition of the inclined plane. VNIIPI Order 1816/2 Random polygons pr-tie, Uzhgorod, st. Project, 4 nor after the first injection, the headaches diminished, the patient calmed down, accelerated the regression of neurological symptoms. Liquor was sanitized on the 9th day. The patient was discharged home for 24 days in a satisfactory condition. Using the proposed method of treating patients with traumatic borax hemorrhages 0 five 0 provides, in comparison with the prototype and the base object earlier. (for 3-8 days) and a distinct therapeutic effect, which is expressed in the reduction of headaches, regression of neurological symptoms and rehabilitation of the cerebrospinal fluid. Control pneumoencephalography performed on days 10–14 after injuries in patients treated by the proposed method did not in one case reveal pathological changes in the shell spaces of the brain, while in the control group the development of adhesions was observed 50% affected. The clinical trials conducted also revealed the advantages of the method in terms of increasing the effectiveness of the treatment. So, in the treatment of patients with lidaza and contrakaly by the proposed method, a pronounced therapeutic effect occurred in 81% of cases, satisfactory - in 16.5%., The therapeutic effect was absent in 2.5%, the complications of an unobservable methodology, these indicators were respectively 21.5 %, 48%, 8%, complications 22.5%. The method is recommended for practical use. Invention Formula A method of treating patients with traumatic subarachnoid hemorrhage, including carrying out lumbar puncture in the patient's position lying on its side, followed by endolyumbal administration of drugs, characterized in that, with the aim of shortening the treatment time and reducing the number of complications, simultaneously t gas, while the manipulation is carried out with the patient's orthostatic position on Circulation 596 Subscription