外伤性脑积水外科治疗50例临床分析

Clinical analysis of fifty cases of patients of

目的:分析外伤后脑积水外科治疗的诊治经验。方法回顾性分析1994～2005年脑外伤后脑积水例数、发病率、主要表现及治疗效果。结果35例行脑室-腹腔分流术,预后良好24例,预后一般14例,临床有效率为76%,死亡4例。结论提高对本病的认识,加强对患者进行CT检查监测,采用脑室-腹腔分流术进行治疗,可降低重型脑外伤的死残率。

Objective: To investigate the diagnosis and treatment of hydrocephalus after the severe brain injury. Methods Retrospectively collect the data of cases of hydrocephalus after the severe brain injury from 14994 to 2005 and summary the cases, mobidity, clinical manifestation and the therapeutic results.Results Ventriculoperitoneal shunt operation was performed on thirty cases of patients, twenty four patients had a good prognosis and fourteen patients got a general prognosis and the effective power of the treatment was 76%, four cases died. Conclusions Enhance the knowledge of this disease and enhance the monitoring by CT scan plus Ventriculoperitoneal shunt operation can reduce the mortality and disability rate of hydrocephalus after the severe brain injury.