论文部分内容阅读
[目的]总结外伤后脑积水的临床特点及诊治方法。[方法]结合文献回顾性分析我科收治的43例外伤后脑积水患者的临床资料。[结果]22例急性脑积水患者经侧脑室外引流或腰穿持续引流后,13例患者病情明显改善,3例患者因合并伤过重死亡,1例植物状态生存,6例患者病情无明显改善,改行侧脑室-腹腔分流术后病情明显缓解。21例慢性脑积水患者行侧脑室-腹腔分流术后,恢复良好13例,中残6例,重残1例,植物生存1例,无死亡病例。[结论]外伤后脑积水应早诊早治,CT和MRI扫描是目前最有效的确诊和鉴别手段,预防比治疗更重要,脑室外引流术或脑室-腹腔分流术是疗效较好的治疗方式。
[Objective] To summarize the clinical characteristics and diagnosis and treatment of hydrocephalus after trauma. [Methods] The clinical data of 43 patients with traumatic hydrocephalus treated in our department were retrospectively analyzed with reference to literature. [Results] Twenty-two patients with acute hydrocephalus were treated with drainage through lateral ventricle or continuous lumbar puncture. The symptoms of 13 patients were significantly improved. Three patients died of severe combined injury, one had vegetative state and six had no disease Significant improvement, diverting lateral ventricle - peritoneal shunt significantly relieved. In 21 patients with chronic hydrocephalus, 13 cases were recovered well, 6 cases were moderate disability, 1 case was severe disability, 1 case was plant survival and no death was found. [Conclusion] The diagnosis and treatment of hydrocephalus after traumatic injury should be made early and early diagnosis and treatment. CT and MRI scan are the most effective means of diagnosis and identification. Prevention is more important than the treatment. Extracerebral ventricular drainage or ventriculoperitoneal shunt is a better therapeutic method. .