重型颅脑损伤患者术后出现脑积水影响因素的分析

Analysis the Factors Affect of Hydrocephalus in Patients With Severe Craniocerebral Injury After Postoperation

目的分析颅脑损伤患者术后出现脑积水的影响因素。方法回顾性分析114例行开颅手术治疗的颅脑损伤患者的病历资料,分析其年龄、性别、格拉斯哥昏迷(GCS)评分、蛛网膜下腔出血、颅内感染、脑室有无积血、腰大池置管引流与术后出现脑积水的关系,总结开颅术后患者出现脑积水的高危因素。结果蛛网膜下腔出血、脑室内积血、颅内感染是术后患者出现脑积水的高危因素,腰大池置管引流为术后避免出现脑积水的保护性因素。结论蛛网膜下腔出血、脑室内积血、颅内感染会增加术后出现脑积水概率,腰大池置管引流有利于降低术后出现脑积水的概率。

Objective Analysis of the influencing factors of hydrocephalus after craniocerebral injury operation.Methods Retrospective analzed the clinical data of 114 patients undergoing craniotomy in treatment of patients with craniocerebral injury of the age, gender, glasgow coma scale score, subarachnoid hemorrhage, intracranial infection, intraventricular hemorrhage, lumbar cistern set tube drainage and postoperative hydrocephalus,waist cisterna magna cathetering drainage and multiple regression analysis, summarized the postoperative risk factors for hydrocephalus.Results Subarachnoid hemorrhage, cerebral hemorrhage, intracranial infection were the risk factors of postoperative hydrocephalus, and drainage of lumbar cistern drainage was the protective factor for the occurrence of hydrocephalus after operation.Conclusion Subarachnoid hemorrhage, cerebral hemorrhage, intracranial infection can increase the probability of postoperative hydrocephalus, and drainage of lumbar cistern is beneficial to reduce the incidence of hydrocephalus after operation.