急性外伤性脑室内出血

Traumatic intraventricular haemorrhage

目的 对外伤性脑室内出血的发病机制、治疗原则和预后进行分析评价。方法 总结 40例外伤性脑室内出血的临床特点、治疗方法及两种治疗方法的预后比较 ,找出预后较好的治疗方法。结果 40例患者入院后急诊行脑室外引流术后 ,格拉斯哥昏迷记分 (GCS)较术前提高 3～ 8分 ,平均提高( 2 .3 3± 1.2 5 )分。应用持续性蛛网膜下腔引流可使脑积水发生率下降 5 0 %。结论 初期脑室外引流和后期持续性蛛网膜下腔引流是有效的治疗手段 。

Objcetive To evaluate and analyse the pathogenesis,treatment and prognosis of traumatic intraventricular haemorrhage. Methods Sum up the clinical features and treatment experience of 40 patients with TIVH.The results of two therapies were compared. Results The GCS of 40 patients with TIVH was increased 2.33±1.25(range3-8)after emergency cerebral ventricular drainage operation.Continuous vetebral subarachnoid drainage decreased the incidence of hydrocephalus by 50%. Conclusion Emergency cerebral ventricular drainage and continuous vetebral subarachnoid drainage are effective operations in the treatment of TIVH,and such means can save time for the preparation of operation and decrease the incidence of hydrocephalus.