| 动脉瘤性蛛网膜下腔出血后脑积水 |
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| 引用本文： | 杭春华,史继新,谭启富,孙克华,邬祖良,王汉东. 动脉瘤性蛛网膜下腔出血后脑积水[J]. 医学研究生学报, 1999, 0(2) |
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| 作者姓名： | 杭春华 史继新 谭启富 孙克华 邬祖良 王汉东 |
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| 作者单位： | 南京军区南京总医院神经外科 |
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| 摘 要： | 目的：探讨动脉瘤性蛛网膜下腔出血（ＳＡＨ）后脑积水的类型、ＣＴ表现和治疗原则。方法：回顾分析１９８４年６月至１９９７年１２月经手术治疗的２１例动脉瘤性ＳＡＨ后脑积水情况，分别对动脉瘤发生部位、大小、ＳＡＨ次数、Ｈｕｎｔ－Ｈｅｓｓ分级和临床症状进行了统计和分析。结果：治疗后良好１４例，轻残２例，重残２例，死亡３例。结论：脑积水是动脉瘤性ＳＡＨ后的常见并发症之一，对预后有直接的影响。急性梗阻性脑积水以脑室外引流治疗最为有效，慢性交通性脑积水的治疗以脑室腹腔分流为宜
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| 关 键 词： | 动脉瘤 蛛网膜下腔出血 脑积水 |
Cerebral hydrocephalus after aneurysmal subarachnoid haemorrhage |
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| Hang Chunhua,Shi Jixin,Tan Qifu et al. Cerebral hydrocephalus after aneurysmal subarachnoid haemorrhage[J]. Bulletin of Medical Postgraduate, 1999, 0(2) |
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| Authors: | Hang Chunhua Shi Jixin Tan Qifu et al |
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| Affiliation: | Hang Chunhua,Shi Jixin,Tan Qifu et al Department of Neurosurgery,Jinling Hospital |
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| Abstract: | Objectives: to explore the type,CT scanning characteristics and treatment principles of cerebral hydrocephalus after aneurysmal subarachnoid haemorrhage (SAH). Methods: Twentyone patients with cerebral hydrocephalus after aneurysmal SAH were reported, which included 10 cases with acute obstructive hydrocephalus and 18 cases with chronic communicating hydrocephalus.Actue hydrocephalus developed into the chronic in 7 cases. Results: Excellent or good outcome was achieved in 14 cases,mild disability in 2,severe disability in 2 and death in 3. Conclusions: Cerebral hydrocephalus is one of the most common complications after aneurysmal SAH,and has direct influence on outcome.External ventricular drainage is the most effective treatment in acute hydrocephalus,and ventriculoperitonal shunt in chronic hydrocephalus. |
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| Keywords: | Aneurysm Subarachnoid haemorrhageHydrocephalus |
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