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目的探讨创伤后慢性脑积水的发生原因及防治。方法回顾性分析2003年1月—2008年12月收治的创伤后慢性脑积水患者32例,对其临床表现、影像学特征、治疗及预后进行总结。结果32例创伤后慢性脑积水患者全部行脑室腹腔分流术,术后意识及神经功能障碍不同程度改善28例(87.5%);恢复良好20例(62.5%),中残8例(25%),无手术死亡病例。结论创伤后慢性脑积水严重影响患者预后,充分认识其发生原因,实施正确防治措施可减少其发生率;早期诊断、及时行脑室腹腔分流术可明显缓解患者意识及神经功能障碍,提高患者预后。
Objective To investigate the causes and prevention of chronic hydrocephalus after trauma. Methods Thirty-two patients with post-traumatic chronic hydrocephalus admitted from January 2003 to December 2008 were retrospectively analyzed. Their clinical manifestations, imaging features, treatment and prognosis were summarized. Results All the 32 patients with post-traumatic chronic hydrocephalus underwent peritoneal shunting. Postoperative consciousness and neurological dysfunction were improved in 28 cases (87.5%), 20 cases (62.5%) were recovered well, 8 cases (25% ), No surgical deaths. Conclusions Post-traumatic chronic hydrocephalus seriously affects the prognosis of patients, fully understand its causes, and the correct prevention and treatment measures can reduce its incidence; early diagnosis and prompt intraventricular peritoneal shunt can significantly alleviate the patient’s awareness and neurological dysfunction, improve the prognosis of patients .