35例外伤性低颅压综合征的临床分析

Clinical Analysis on 35 Cases with Traumatic Intracranial Hypotension Syndrome

目的:分析外伤性低颅压综合症的临床特点。方法:回顾性分析35例外伤性低颅压综合症病例,探讨其发病原因及临床特点,总结诊断和治疗经验。结果:35例不同损伤类型患者依靠临床表现和腰穿确诊为低颅压综合症。经采用不同治疗后全部于3-10天低颅压症状消失。结论:外伤性低颅压综合症的发生与伤后脑血管痉挛,脑脊液丧失过多,过量应用脱水剂,体液丧失多而摄入不足,手术或腰穿放脑脊液过多等因素有关,确诊后及时治疗均能痊愈。

Objective： The author analysed the clinical characteristics of traumatic intracranial hypotension syndrome（THIS）.Methods： 35 cases of THIS were analysed retrospectively and their etiological and clinical characteristics were explored,so as to sum up the diagnosis and treatment.Results： Depending on a clinical performance and lumbar puncture,the 35 cases with different types of injures were diagnosed as THIS.With the help of different treatment,all symptoms were disappeared within 3-10 days.Conclusions： The cases of the THIS are related to the following factors： cerebral spasm after being injured;losing excessive cerebrospinal fluid;using excessive dehydrating agent;losing excessive body fluid but not to be replenished enough;losing excessive cerebrospinal fluid by operation or lumbar puncture.They all can be cured in time after diagnosis.