非外伤性基底节丘脑出血破入脑室的位置与颅内压升高程度的相关性分析

An analysis on the correlation between degree of intracranial pressare and locatcin of intraventricular clot after non-traumatk basai ganglion and thalamus hemorrhages

目的 分析探讨非外伤性基底节丘脑出血破入脑室,其脑室积血位置与颅内压相关性。 方法筛选在发病后3天内行CT检查为基底节丘脑出血破入脑室者50例,全部行脑室外引流术,并监测颅内压。 结果以非外伤性基底节丘脑出血破入三、四脑室,颅内压升高最显著。其次一侧脑室有血,继发另一侧脑室梗阻性脑积水,颅内压亦显著升高。而一侧脑室有血时颅内压升高相对较轻。 结论 通过对脑室积血位置的分析,可估计颅内压,并以此指导治疗,判断预后。

Objective To make an analysis of interrelation between the location of intraventricular clot and intracranial pressure( ICP) after non-traumatic basal ganglion and thalamus hemorrhages. Methods The location of intraventricular blood clot were sought for by CT scan in 3 days at the onset in 50 patients with basal ganglion and thalamus hemorrhages,and ICP was monitored by veniricular drainage. Results The location of blood clot was situated in third and fourth ventricle,the increased degree of ICP was markely higher than that only in one laterventricle. Conclusion We can evaluate the degree of ICP by the analyses of the location of intraventricular blood clot,as well as guiding therapy and estimating prognosis.