脑外性脑积水的CT表现及临床治疗的再讨论

Rediscussion on CT image and clinical therapy of external hydrocephalus

目的：通过cT扫描，发现脑外性脑积水后，对其临床治疗重新认识并再讨论。方法：收集51份完整病例，其中男41例，女10例，年龄在23天～30个月。采用横断层头部CT扫描，发现脑外性脑积水后，建议3～5个月后复查并与前一次头部CT扫描对照分析病情的发展情况，以便给患儿确切的治疗意见。结果：51例脑外性脑积水患儿经过随诊观察，23％患儿可以自行吸收，77％的患儿不能自行吸收，患儿需要经过补钙、穿刺引流、抗炎治疗等来缓解症状及恢复正常。结论：要对脑外性脑积水患儿给予高度重视，避免错过对患儿的最佳治疗时机。

Objective To rediscuss the new recognition on treatment of external hydrocephalus （EH） through the CT scan, Method We collected the intact case histories of 51 cases with EH whose age was from 23 days to 30 months （41 males, 10 females）. Through transverse brain scan, when EH was detected, patients were suggested to recheck after 3 - 5 months so as to contrasted and analyzed the illness state and directed treatment correctly. Results According to the following - up data, out of 51 cases, 23% can absorb spontaneously, while others can not and need calcium supply, puncturing and draining, and anti - inflammatory therapy to relieve symptoms and make recovery. Conclusion Children with EH should be highly noticed and avoid missing the best therapy period.