探究创伤性脑损伤术后并发脑积水的临床治疗总结

Clinical Treatment Summary of Hydrocephalus after Traumatic Brain Injury

目的:创伤性脑损伤术后并发脑积水的临床治疗总结。方法:选择2015年1月~2017年1月期间,某院住院治疗且行标准去骨瓣开颅减压术的104例创伤性脑损伤患者作为研究对象,术后并发脑积水患者为研究组,未发生脑积水患者为对照组,分析并发脑积水的危险因素,总结临床治疗经验。结果:104例患者中,术后19例患者发生脑积水,发生率为18.27%经治疗脑积水患者均已恢复清醒,无死亡。两组患者术后疗效对比,研究组恢复清醒时间明显低于对照组,P<0.05;GCS评分、体温相比,两组无显著差异,P>0.05。结论:创伤性脑损伤患者临床手术治疗前应该进行并发脑积水的高危因素评估,术后对患者密切观察随访,一旦发生脑积水应及时对症治疗。

Objective:To summarize the clinical treatment of hydrocephalus after traumatic brain injury.Methods:From January 2015 to January 2017,104 patients with traumatic brain injury who were given standard decompressive craniectomy in a hospital were selected as the study subjects.Patients with hydrocephalus after surgery were included in the study group.Patients with no hydrocephalus were included in the control group.The risk factors of concomitant hydrocephalus were analyzed and the experience of clinical treatment was summarized.Results:Among the 104 patients,19 patients had hydrocephalus after operation,the incidence rate was 18.27%.All patients with hydrocephalus had recovered to awake without death.The recovery time in the study group was significantly shorter than that in the control group(P<0.05).There was no significant difference in GCS score and body temperature between the two groups(P>0.05).Conclusion:Patients with traumatic brain injury should be evaluated for high-risk factors of hydrocephalus before clinical operation.The patients should be closely observed and followed up,for follow-up,and and the hydrocephalus should be treated in time for the occurrence of hydrocephalus.