脑室出血后延期性脑积水的临床分析

Clinical analysis of the delayed hydrocephalus from cerebroventricular haemorrhage

目的探讨脑室出血后延期性脑积水的临床分析。方法将45例重型脑室内出血患者随机分为A、B两组,A组26例持续脑室外引流及尿激酶灌注的基础上,向腰蛛网膜下隙注入尿激酶及生理盐水;B组19例行非手术治疗,比较两组延期性脑积水发生率。结果A组发生延期脑积水3例(11%),B组为8例(42%),两组比较差异有统计意义(χ2=4.02,P<0.05)。结论对于脑室出血患者,如果达到一侧侧脑室血肿量超过半个脑室,第三、四脑室、导水管积血,对侧侧脑室后角积血的其中之一,即为手术指征。

Objective To discuss the clinical analysis of the delayed hydrocephalus from cerebroventricular hemorrhage.Methods To take 45 cases severe cerebroventricula hemorrhage random were divided into group A and group B,A（26cases）To infuse urokinase or Sodium Chloride into the subarachnoid space by spinal puncture was based on continuous external ventricular drainage and cerebroventricular infusion of urokinase B 19 cases nonoperative treatment two groups compare was the delayed hydrocephalus of incidence rate.Results Group A There were 3 cases happen delayed hydrocephalus with a rate of 11%,group B there were 8 cases having delayed hydrocephalus with a rate of 42%.Between two groups compare was statistically significant（χ2=4.02,P0.05）.Conclusion With regard to cerebroventricular hemorrhage of patient if happen these among of one,that they are side cerebralventricle of haematoma moreover exceeds moiety cerebralventricle,threed and fourth or aqueduct to haematocele,opposite side cornu posterious ventriculi lateralis of haematocele,it is attain operative indication.