分流或引流术对脑疝术后硬膜下积液或脑积水并意识障碍的疗效观察

Effect of Shunt or Drainage for the Treatment of Subdural Hydroma or Hydrocephalus Combined with Conscious Disturbance in the Patients with Cerebral Hernia after Operation

目的:探讨脑脊液分流或引流术对改善外伤性脑疝术后并发硬膜下积液或脑积水患者意识障碍的效果观察。方法:分析47例外伤性脑疝术后硬膜下积液(或脑积水)患者的疗效及预后。结果:本组脑室-腹腔分流术14例,脑室-心房分流1例;硬膜下积液外引流26例,硬膜下腔-腹腔分流5例,左-右硬膜下腔-腹腔分流1例。术后意识障碍明显改善21例,好转14例,无效12例。结论:硬膜下积液或脑积水是造成外伤性脑疝术后患者意识障碍的一个重要原因,积极的手术治疗对促进其意识障碍的恢复有很大意义。

Objective：To investigate the effects of shunt or drainage on subdural hydroma or hydrocephalus combined with conscious disturbance in patients with cerebral hernia after operation. Method：The effects and prognosis of 47 patients with subdural hydroma or hydrocephalus after operation were analyzed. Results：Fourteen cases received ventricle-peritoneal shunt,one case received ventricle-auricula shunt,26 cases received drainage,5 cases received subdural-peritoneal shunt,and one case received left-right subdural-peritoneal shunt. Postoperative consciousness disorder was significantly improved in 21 cases,improved in 14 cases,ineffective in 12 cases. Conclusion：Subdural hydroma or hydrocephalus are the important causes for unconciousness in those patient with cerebral hernia after operation,and the operative intervention is an active and effective management for ameliorating conscious disturbance in patients.