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外伤性脑积水证治初探
引用本文:赵新军,姜汝明,王德亮,孙登江,张恺,焉兆利. 外伤性脑积水证治初探[J]. 中华中医药学刊, 2007, 25(3): 563-564
作者姓名:赵新军  姜汝明  王德亮  孙登江  张恺  焉兆利
作者单位:山东中医药大学附属医院脑神经外科,山东,济南,250011
摘    要:采用回顾性研究方法,统计356例脑挫裂伤合并蛛网膜下腔出血患者,结果出现急性脑积水者6例,慢性脑积水者35例。分析认为昏迷患者给以流质饮食、小便不利、高热是颅脑外伤后发生脑积水的主要因素,并从瘀阻清窍、脾虚水聚、肾阳不足膀胱失司、热毒壅滞四个方面对其病因病机与辨证论治进行了分型探讨。

关 键 词:外伤性脑积水  病因病机  辨证论治
文章编号:1673-7717(2007)03-0563-02
收稿时间:2006-10-19
修稿时间:2006-10-19

Treatment of Traumatic Hydroceplalus Based on the Traditional Chinese Medicine Differential Diagnosis
ZHAO Xin-jun,JIANG Ru-ming,WANG De-liang,SUN Deng-jiang,ZHANG Kai,YAN Zhao-li. Treatment of Traumatic Hydroceplalus Based on the Traditional Chinese Medicine Differential Diagnosis[J]. Chinese Archives of Traditional Chinese Medicine, 2007, 25(3): 563-564
Authors:ZHAO Xin-jun  JIANG Ru-ming  WANG De-liang  SUN Deng-jiang  ZHANG Kai  YAN Zhao-li
Affiliation:Department of Neurosurgery, Affiliated Hospital of Shandong University of Traditiona/Chinese Medicine, Jinan 250011 ,Shandong ,China
Abstract:The data of 356 patients with cerebral contusion complicating subarachnoid hemorrhage were analyzed retrospectively. Among them ,6 cases acute hydrocephalus and 35 cases chronic hydrocephalus were summarized. After the data analysis we can conclude that the liquid diet given to the patients in coma, unsmooth urination and high fever were main fators of traumatic hydrocephalus. According to TCM etiology and pathogenesis, stasis stagnating brain, spleen deficiency inducing retention of water,insufficiency of kidney yang complicating urinary bladder incontinence,stagnation and coagulation of heat and toxin were four clinical types ,treatments of each type based on TCM differential diagnosis were studied in this article.
Keywords:traumatic hydrocephalus  etiology and pathogenesis  treatment based on the TCM differential diagnosis
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