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DOI: 10.1055/s-0034-1377618
Intraventrikuläre Blutungen
Publikationsverlauf
Publikationsdatum:
19. August 2014 (online)
![](https://www.thieme-connect.de/media/intensiv-u2d/201403/lookinside/thumbnails/10.1055-s-0034-1377618-1.jpg)
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Die ernste Prognose eines Patienten mit ventrikulärer Blutung hat sich in den letzten Jahren durch neue Therapieverfahren deutlich verbessert.
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Derzeit sind diese Therapieverfahren noch experimentell und sollten bevorzugt im Rahmen laufender klinischer Studien und in Zentren mit ausgewiesener Expertise durchgeführt werden.
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Die intraventrikuläre Fibrinolyse über eine externe Ventrikeldrainage kann bei schweren Ventrikelblutungen möglicherweise die Mortalität senken und das funktionelle Outcome verbessern.
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Alternativ oder in Kombination hierzu ist eine lumbale Drainage möglich.
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Insbesondere in Kombination mit einer intraventrikulären Lyse kann die lumbale Drainage möglicherweise permanente shuntpflichtige Liquorzirkulationsstörungen reduzieren.
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Nach einer Subarachnoidalblutung kann die lumbale Drainage die Inzidenz von Vasospasmen senken.
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