论文部分内容阅读
目的:探讨脑室-腹腔分流术治疗重型颅脑损伤合并脑积水的疗效。方法:对行脑室一腹腔分流术的50例重型颅脑损伤合并脑积水患者的临床资料进行总结分析。结果:术后明显好转26例,好转15例,显效7例,无效2例,有效率为96%;无死亡病例。48例患者术后GCS评分提高到9~15分,复查颅脑CT脑室均有不同程度的缩小,骨窗压力减低。结论:早期发现并及时实施脑室-腹腔分流术,术后采用积极的综合治疗是降低重型颅脑损伤患者的病死率和致残率的关键。
Objective: To investigate the effect of intraventricular-abdominal shunt on severe craniocerebral injury with hydrocephalus. Methods: The clinical data of 50 patients with severe craniocerebral injury complicated with hydrocephalus undergoing peritoneal shunt in the ventricle were analyzed. Results: After operation, 26 cases improved significantly, 15 cases improved, 7 cases markedly effective, 2 cases ineffective, and the effective rate was 96%. No deaths were found. 48 patients GCS score increased to 9 to 15 points, review of brain CT ventricle were reduced to varying degrees, reduced bone window pressure. Conclusion: The early detection and timely implementation of ventricle - peritoneal shunt, after the use of positive comprehensive treatment is to reduce the mortality of patients with severe craniocerebral injury and morbidity rate of the key.