外伤性脑室内出血31例临床分析  

Clinical analysis of 31 cases of traumatic intraventricular hemorrhage

作　　者：何勇 骆纯[2] 胡秀华 

机构地区：[1]江西省玉山县人民医院神经外科,江西玉山334700 [2]上海长征医院神经外科,上海200003

出　　处：《中华神经医学杂志》2004年第6期456-457,459,共3页Chinese Journal of Neuromedicine

摘　　要：目的分析总结外伤性脑室内出血的诊断和治疗特点.方法对过去10年来31例外伤性脑室内出血的病因学、影像学、诊断和治疗特点进行分析.结果多数为车祸致伤,重型颅脑伤占26例.原发TIVH 17例,继发TIVH 14例.脑室出血量按Graeb法分类:1～4分(轻度)12例,5～8分(中度)10例,9～12分(重度)9例.28例合并其他颅脑损伤.伤后6个月GOS评分:死亡14例,植物状态1例,重残2例,中残5例,良好9例.结论闭合性颅脑损伤后TIVH的发生率较低,反映了脑损伤的严重程度.Objective To study the diagnostic and therapeutic features of traumatic intraventricular hemorrhage (TIVH). Methods The clinical data including clinical manifestation, etiologic, radiographic and therapeutic features in 31 cases of TIVH from 1992 to 2001 were analyzed. Results 26 cases suffered from severe head injuries. The cases of primary and secondary TIVH are 17 and 14 respectively. According to mean Graeb score for the severity of IVH, 12 cases were mild (1-4), 10 cases, moderate (5-8) and 9 cases, severe (9-12). 28 cases were associated with various craniocerebral injuries. 6 months after injury, 14 died,1 remained vegetative,2 severely disabled,5 moderately disabled,and 9 had a good prognosis. Conclusion TIVH doesn 't happen frequently after closed head trauma and can reflect the severity of the head injury.

关 键 词：外伤性脑室内出血 TIVH 诊断和治疗 轻度 血量 植物状态 GOS评分 

分 类 号：R651.15[医药卫生—外科学] R743.34[医药卫生—临床医学]