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COMMENTING THE EFFICIENCY EFFECTIVE OF OUTSIDE VENTRICULAR DRAINING TECHNIQUE IN PATIENTS WITH VENTRICULAR BLEEDING AT THE STROKE CENTER OF PHU THO PROVINCE GENERAL HOSPITAL
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Abstract
Background: Hemorrhagic stroke accounts for 10% to 15% of stroke cases representing approximately two million cases annually worldwide. The most common treatment of intraventricular bleeding with complications of acute ventricular dilatation is placing an external ventricular drain. Objectives: To evaluate the clinical, paraclinical, and technical efficiency of ventricular drainage out in patients with intraventricular bleeding at the Stroke Center of Phu Tho Provincial General Hospital. Methods: A case-descriptive study was performed on 19 patients with intraventricular hemorrhage with acute ventricular dilatation who were treated at the Stroke Center of Phu Tho Province General Hospital from June 2020 to September 2021. Results: At the time of admission, the mean Glasgow coma score (9.68[6-15]) was low. From day one, the average Glasgow coma score began to improve. At the time of admission, the mean Graeb score of the patients in the study (6.72[0-10]), improved rapidly and soon after day 1. Complications related to ventricular drainage to the outside were mainly purulent meningitis (15.8%) and recurrent bleeding (15.8%). The mortality rate of study patients at 1 month was 36.84%, the mortality rate of study patients at 3 months was 21.05%. The mortality rate from 0-3 months is 57.89%. Conclusion: The technique of external ventricular drainage in patients with intraventricular bleeding does not contribute to reducing the rate of sequelae and mortality of intraventricular bleeding.
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Keywords
Ventricular drainage technique, intraventricular bleeding, Phu Tho
References
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