摘要
目的:分析轻型颅脑损伤后脑积水的临床表现、治疗方法及预后。方法:回顾性分析17例轻型颅脑损伤后继发脑积水者的临床表现;男性11例,女性6例,平均年龄(32.3±5)岁。7例出现视乳头水肿,10例无视乳头水肿。前者接受手术治疗,后者保守治疗,6个月后随访临床结果。结果:7例出现视乳头水肿者临床表现为头痛进行性加重,伴精神症状。术后6个月,3例临床症状完全恢复,2例部分恢复,1例无变化,1例症状加重;10例无视乳头水肿者表现为头痛、失眠,予健脑、减少脑脊液分泌等对症治疗。6个月随访时5例临床症状完全恢复,3例部分恢复,2例无变化。结论:继发于轻型颅脑损伤后的脑积水可分为两类:高压型和正常压力型脑积水。前者应行脑室-腹腔分流术,后者可采取保守治疗。
Objective：Analyzing the clinical situation, after traumatic brain injurygently type. Methods： Total were analyzed retrospectively, including 11 cases of male, age. Among them, papilledema was detected in 7 cases. methods of treating, and prognosis of hydrocephalus 17 cases of hydroceephalus after traumatic brain injury and 6 cases of female, and（32.3± 5）years old in averFurthermore, operaions were performed in the cases with papilledema, while conservative treatments were the choices in the others. Follow up 6 months. Results： The clinical situations of the case with papilledema were progressive ;headache, psychiatric symptoms as well as. The results 6 months potsoperation showed that 3 cases were total recovered, 2 cases partial recovered, 1 case recovered little, and 1 case became worse. Otherwise, the situations of the cases with out papilledema were gentle headache and agrypnia. The treatment of improving the function of brain, and reducing excretion of cerebralspine flow were ehoosed in the cases without papilledema . The results of 6 months follow up were 5 cases recovered completely, 3 cases recovered partially, and 2 cases recovered little. Conclusion： Hydrocephalus after traumatic brain injury is possible to be divided into two types ： high or normal pressure hydrocephalus. Ventricularperitoneum shunt should be applide for high pressure type, while drug treatment is the probable choice for norreal pressure type.
出处
《内蒙古医学杂志》
2008年第11期1330-1331,共2页
Inner Mongolia Medical Journal
关键词
轻型颅脑损伤
脑积水
临床症状
Gently traumatic brain injury
Hydrocephalus
Symptoms
