42例颅脑外伤后并发脑积水临床诊治观察

The Observation of Clinical Diagnosis and Treatment on Hydrocephalus After Brain Injury in 42cases

目的探讨颅脑外伤并发脑积水的临床点和治疗效果。方法选择我院2001年1月至2009年1月颅脑外伤后并发脑积水患者42例,分析其临床表现、影像学特点。42例均采用脑室-腹腔(V-P)分流术。结果24例基本痊愈,15例好转,3例出现分流管堵塞,行二次手术后病情好转。除2例死亡外,其余40例均进行随访,2例精神症状未见恢复外,其余均恢复正常生活与工作。结论外伤性脑积水是颅脑外伤中较常见的并发症,临床上要及早诊断及时处理,选择合适的分流手术是提高患者的治愈率的关键。

Objective To explore the clinical character and efficacy.Methods 42cases selected all had hydrocephalus after brain injury,the clinical manifestation、imaging character were analyzed.for 42 cases,ventricle-peritoneal（V-P）shunt was done and.revision surgery was done for 5cases.Results 24case basically cured,15 cases were improved,the shunt tubewas blocked in 3 cases,and the state was improved after the second surgery.except that2case died,the other 40 cases were followed up,2 cases had mental symptoms,and the other all could work and live normally. Conclusion Hydrocephalus is one of the complications after brain injury,early diagnosis- and treatment should be done ,proper shunt selected is the keypoint to increase the cure rate.