重度颅脑损伤后继发脑积水的早期诊断和治疗

Early diagnosis and treatment of hydrocephalus after severe traumatic brain injury

目的:探讨重度颅脑损伤后继发脑积水的早期诊疗方法及愈后。方法:对12例重度颅脑损伤后继发脑积水的患者均一期或二期行脑室—腹腔分流术,10例随访半年～3年。结果:12例术后2周～3月CT复查脑室大小恢复正常。随访10例,生活自理8例,意识及肢体活动好转2例。结论:重度颅脑损伤后继发脑积水是影响愈后的严重并发症,早期确诊和手术治疗是减少其死亡率及致残率的关键。

Objective To explore the early diagnosis and trestment methods and effects of hydrocephalus after severe traumatic brain injury. Methods The one stage or the two stage ventriculoperitoneal shunts have been done to the all 12 patients of hydrocephalus after severe traumatic brain injury, 10 patients have been followed up from half an year to three years. Results After operation , CT was repeated from two weeks to three months. The volme of ventricular of 12 patients recovered normally. 10 patients have been followed up. 8 patients could take care of them for themselves , the other 2 patients' body activity was much better than before. Conclusions Hydrocephalus after severe traumatic brain injury is a serious complication . To definite diagnosis and operation early are the key points to decrease the mortality and morbidity of hydrocephalus after severe traumatic brain injury.