原发性脑室出血伴急性脑水肿的临床分析  

The Clinical Experience of Primary Intraventricular Hemorrhage with Acute Cerebral Edema

作　　者：李舜[1] 唐晓平[1] 唐文国[1] 冯凌[1] 赵龙[1] 段军伟[1] 

机构地区：[1]川北医学院附属医院,四川南充637000

出　　处：《中外医学研究》2014年第13期112-113,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对原发性脑室出血并急性脑水肿的临床诊断和治疗进行分析研究。方法:对笔者所在医院收治的59例脑室出血患者的临床诊治资料进行回顾分析。结果:36例表现为恶心、呕吐;均经CT明确诊断;均采用脑室引流手术治疗;本组患者经过治疗后,痊愈35例,好转5例,术后3个月内复发脑室出血4例,其余15例患者死亡,其治疗总有效率为67.80%。结论:原发性脑室出血伴急性脑水肿患者临床上以发热、呕吐等为主要表现,其治疗方法主要可采用脑室引流手术方法进行治疗。Objective： To analyze the clinical diagnosis and treatment of primary intraventricular hemorrhage with acute cerebral edema.Method： The clinical data of 59 cases of patients with intraventricular hemorrhage were retrospectively analyzed.Result： 36 cases were characterized by nausea and vomiting; the patients were diagnosed by CT; they were treated with ventricular drainage operation.in this group of patients after treatment, 35 cases achieved heal standard, 5 cases were improvement, the recurrence of cerebral hemorrhage were 4 cases in three months after operation, 15 patients died, the total effect rate was 67.80%. Conclusion： The main manifestations of primary intraventricular hemorrhage with acute cerebral edema were fever, vomiting and so on as, the treatment mainly by ventricular drainage operation method.

关 键 词：原发性脑室出血 急性脑水肿 

分 类 号：R743.34[医药卫生—神经病学与精神病学]