外伤后脑积水36例临床分析  

Post-traumatic hydrocephalus:a clinical analysis of 36 cases.

作　　者：王勇[1] 毛伯镛[1] 胡文[1] 文波[1] 

机构地区：[1]华西医科大学附属第一医院,四川成都610041

出　　处：《四川医学》2001年第7期618-619,共2页Sichuan Medical Journal

摘　　要：目的　探讨外伤后脑积水的检查方法及分流手术。方法　回顾性分析我院自 1998～ 2 0 0 0年收治外伤后脑积水共 36例 ,男 2 6例 ,女 10例。年龄为 18～ 78岁 ,平均年龄 46 .6岁。格拉斯哥评分 GCS:5 .6± 1.4。结果　蛛网膜下腔出血发生率达 83.3% ,去骨瓣减压者占总数的 44 .4%。结论　 CT、MRI及同位素扫描是诊断脑积水的常用检查方法。Objective To analyze and address the diagnostic methods and shunting for the management of posttraumatic hydrocephalus cases.Methods From 1998 to 2000,36 cases of head injury(GCS:5.6±1.4)with post traumatic hydrocephalus were under treatment in our hospital.These patients,26 males and 10 females,were.18～78 years old(mean age,46.6 yrs).Hydrocephalus was diagnosed 6 hours to 8 months after injury.Results CT scan on admission immediately after head injury showed subarachnoid hemorrhage(SAH)in 30 cases(83.3%).Decompressive craniectomy was performed in 16 cases(44.4%).These indicate that the influential factors for the development of post traumatic hydrocephalus included SAH,intracranial infection,the degree of injury,and decompressive craniectomy.Conclusion The methods commonly used for the radiological diagnosis of hydrocephalus include CT,MRI and isotope brain image scan.The results demonstrate that shunting is effective for improving clinical symptoms in most of the cases.

关 键 词：外伤后脑积水 颅脑损伤 去骨瓣减压 蛛网膜下腔出血 CT MRI 分流手术 

分 类 号：R651.15[医药卫生—外科学]