颅脑损伤后脑积水行脑室-腹腔分流术20例临床分析

目的:探讨颅脑损伤后脑积水的诊断治疗及并发症的处理。方法:对20例颅脑损伤后脑积水的临床表现、治疗方法及并发症的处理进行回顾性分析。结果:脑室-腹腔分流术后16例意识障碍、语言、智力与肢体运动明显好转,3例有所改善,1例持续昏迷者无变化。术后颅内感染1例,腹腔段堵管2例,均治疗后好转;1周后复查头颅CT见脑室明显缩小19例,脑室大小无改变者1例。结论:颅脑损伤后脑积水早期诊断,及时实施脑室-腹腔分流术,对出现的并发症积极治疗是决定患者预后的重要因素。

Clinical analysis of ventriculoperitoneal shunting in twenty cases of hydrocephalus after craniocerebral injury

Objective： To explore the diagnosis and treatment about hydrocephalus as well as realted complication after cranioeerebral injury.Methods： retretrospective analysis into twenty hydrocephalus after craniocerebral injury about the clinical manifestation, therapies, and the treatment of the realted complication.Results： Distur- bance of consciousness, language, intelligence, and the motion of limbs get better obviously in sixteen cases, three cases to improve, one case last coma and no recovery; One case get intracranial infection, two eases get ab- dominal cavity blockage, both of them improve after treatment; Cerebral ventricles decreased size in nineteen cas- es and one case do not change after one week in computer tomography examine.Conclusion： Early diagnosis, op- eration promptly, active treatment of the reahed complication is vital to the prognosis of the sufferer.