36例外伤性低颅压综合征临床分析

Clinical Analysis on 36 Cases with Traumatic Intracranial Hypotension Syndrome

目的:分析外伤性低颅压综合征的发病原因及临床特点。方法:回顾性分析笔者所在医院收治的36例外伤性低颅压综合征患者的临床资料,探讨其发病原因及临床表现、诊疗效果。结果:36例低颅压综合征患者,以体位性头痛和眩晕呕吐为主要临床表现,同时伴有表情淡漠、嗜睡、心率减慢和血压偏低;发病原因为头部外伤,其中多为车祸伤61.11%(22/36);经去枕平卧及补足血容量,改善脑脊液循环,严格控制脱水药物的剂量和手术治疗等治疗措施,全部患者均治愈出院。结论:外伤性低颅压综合征的发生与伤后脉络丛分泌障碍,脑脊液丧失过多,过量应用脱水剂,体液丧失过多而容量不足,手术或腰穿释放脑脊液过多等因素有关,确诊后应及时给予合理体位和积极综合治疗均能痊愈。

Objective： To analyze the causes and clinical characteristics of traumatic intracranial hypotension syndrome.Method： Retrospective analysis of clinical data of 36 cases of traumatic intracranial hypotension syndrome patients were treated in author＇s hospital, investigating its cause and effect, clinical manifestation, diagnosis and treatment.Result： 36 cases of intracranial hypotension syndrome patients with orthostatic headache and dizziness, vomiting as the main clinical manifestations, accompanied by apathy, lethargy, decreased heart rate and low blood pressure; the causes of head injury,which were caused by traffic accident in 61.11%（22/36）.Through to supine pillow and supplement of blood volume, improve the circulation of cerebrospinal fluid, dose and operation therapy and other treatment measures to strictly control the dehydration agents, all patients were cured and discharged.Conclusion： The secretion disorder of choroid plexus after being injured, loss of excessive cerebrospinal fluid, excessive application of dehydrating agent, loss of excessive body fluid but not to be replenished enough, loss of excessive cerebrospinal fluid after surgery or lumbar puncture play certain roles in the progress of TIHS, while they all can be cured after timely treatment.