摘要：目的 探讨脑脊液置换术治疗蛛网膜下腔出血的临床效果。方法 89例蛛网膜下腔出血患者随机分为对照组和观察组，对照组采用常规治疗，包括防止继续出血和预防再出血，防治脑水肿，防止脑积水，缓解脑血管痉挛等措施，观察组在此基础上给予脑脊液置换术治疗。结果 观察组在头痛消失时间，颈强直消失时间，并发症发生率，住院时间和死亡率方面均显著优于对照组。结论 脑脊液置换术治疗蛛网膜下腔出血疗效显著，且能够明显降低并发症的发生，改善预后，值得推广。

    关键词：脑脊液置换术；蛛网膜下腔出血；疗效

    Abstract：Objective To study the clinical effect of cerebrospinal fluid replacement for subarachnoid hemorrhage.Methods 89 patients with subarachnoid hemorrhage were randomly drawn into control group and observation group， control group using conventional treatment， including to prevent further bleeding and prevention of further hemorrhage and the prevention and treatment of cerebral edema ......