[摘要]目的探讨外伤性脑积水的发病机理和防治。方法 对2004-2010年在我院收治的42例经CT 和M R I 证实的外伤性脑积水的临床资料进行总结分析，42 例均行脑室-腹腔分流术。结果 术后颅高压征象均得以改善;复查CT,36 例脑室明显缩小,4 例好转，2 例变化不明显;出院转归,良好31例,中残6 例,重残2 例,植物生存2 例,死亡1 例。结论 对严重脑外伤的病人,积极预防和及时治疗外伤后脑积水,能提高病人的生存质量和预后。

    [关键词]颅脑外伤; 脑积水; 脑室-腹腔分流术

    [中图分类号] R651[文献标识码]A [文章编号] 1005-0515(2010)-10-001-01

    Brain trauma the hydrocephalus on 42 cases Diagnosis and treatment

    Bai zhuo DONG,Zhi gang SUN,Wei dong JIE,Jun sheng LV，Qiang WEI

    (Inner mongolia autonomous region Baotou City centre hospital, Neurosurgery 014040)

    [Abstract]ObjectiveTo investigate the incidence of traumatic hydrocephalus mechanism and prevention. Methodsfrom 2004-2010 in our hospital treated 42 patients with CT and MRI confirmed traumatic hydrocephalus clinical data were analyzed, 42 patients underwent ventriculo - peritoneal shunt. Resultsafter all signs of intracranial hypertension can be improved; review of CT, 36 Li ventricle significantly reduced, four cases of improvement in two cases did not change significantly; discharged vesting, good in 31 cases, the residual in 6 cases, severe disability in 2 cases, plant survival of two cases of death in 1 case. ConclusionThe patients with severe brain trauma, positive prevention and timely treatment of traumatic brain hydrocephalus, can increase the patient's quality of life and prognosis. ...... 濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€ｎ偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕ｉ婵嗗幋闁哄嫷鍨甸～锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎ｎ偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


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