中、重型脑外伤后脑积水36例临床分析

Clinical Analysis of Thirty-six Cases with Hydrocephalus after Moderate and Severe Brain Injury

【目的】探讨中、重型脑外伤后脑积水的诊断和治疗方法。【方法】回顾性分析在本院 1 998～ 2 0 0 2年 36例脑外伤后脑积水临床资料。【结果】36例均行脑室 -腹腔分流术 (8例先行脑室外引流 ,再行脑室 -腹腔分流术 )。术后大部分病例临床症状及影像学检查均得到改善。【结论】分流手术对大多数外伤后脑积水患者临床症状有改善作用 ,可降低重型脑外伤的死残率 。

To investigate the diagnosis and treatment of hydrocephalus after moderate and severe brain injury.The clinical data of 36 cases with post-traumatic hydrocephalus admitted in our hospital during the year 1998～2002 were analyzed retrospectively.Ventricle-peritoneum Shunt (VPS) was performed in all 36 cases, extra ventricular drainage was first done in eight cases of them, then followed by VPS. The postoperative clinical symptoms and imaging examination in most cases were improved.[Conclusion]Shunting can improve clinical symptoms in majority of patients with hydrocephalus after trauma, it would reduce the mortality and disability rate of severe brain injury and improve its prognosis.