原发性脑室出血48例临床分析

目的　对原发性脑室出血的临床表现、治疗及预后进行分析。方法对过去１０年间４０例采用回顾性分析进行讨论。结果临床上出现意识障碍、抽搐、尿失禁、眼位异常、四肢瘫痪及双侧病理征阳性者预后差。意识障碍出现越早，程度越重，死亡率越高，脑室内积血范围直接影响预后。头颅ＣＴ示全脑室积血死亡率高达 ６０％。其治疗方法也影响预后。结论对脑室出血预后判断非常重要，经采取措施积极治疗可降低死亡率。

Clinical study on 48 cases of primary ventricle haemorrhage

Objective To study the clinical manifestations, treatment and prognosis of the primary ventricle haemorrhage. Methods Fourty-eight cases in the past 10 years were analyzed retrospectively. Results The clinical menifestations,such as conscious obstructive, urinary incontinence,squintion eyes,quadriplegia, and positive pathologic reflex,etc,suggested that the prognosis be serious. The earlier the conscious obstructive emerged,the worse the situations were,and the highier the mortality rate was. The range of ventricle haemorrhage influenced the prognosis directly. Showed by head CT,The full ventricle haemorrhage caused the mortality as high as 60 percent,and the treatment measures also infuluenced the prognosis. Conclusion The judgement of the ventricle haemorrhage was very important to prognosis,the mortality could be reduced by taking vigorous measures and energetic treatment.