CAJ | 학술논문

目的：结合文献探讨外部性脑积水的发生机制、临床表现及影像学诊断与鉴别，加深认识，避免误诊。方法回顾性分析我院2006年-2012年诊断为外部性脑积水的113例患儿的临床资料。结果原发性外部性脑积水39例，继发性74例；在积极治疗后症状消失治愈41例，好转27例，9例转往上级医院，36例放弃治疗。结论外部性脑积水的影像学表现主要为大脑前部蛛网膜下腔间隙增宽，临床上可分为原发性和继发性，继发性者原因较多，治疗不及时则预后欠佳；应对其加深认识，临床工作中遇到不明原因反复抽搐或头围增大的患儿时应行CT或MRI检查明确诊断并追查原发病，以便积极治疗，避免产生严重后遗症。
목적：결합문헌탐토외부성뇌적수적발생궤제、림상표현급영상학진단여감별，가심인식，피면오진。방법회고성분석아원2006년-2012년진단위외부성뇌적수적113례환인적림상자료。결과원발성외부성뇌적수39례，계발성74례；재적겁치료후증상소실치유41례，호전27례，9례전왕상급의원，36례방기치료。결론외부성뇌적수적영상학표현주요위대뇌전부주망막하강간극증관，림상상가분위원발성화계발성，계발성자원인교다，치료불급시칙예후흠가；응대기가심인식，림상공작중우도불명원인반복추휵혹두위증대적환인시응행CT혹MRI검사명학진단병추사원발병，이편적겁치료，피면산생엄중후유증。
Objective The literature review external hydrocephalus mechanism,clinical and imaging findings. Methods Collected in our hospital the 2006-2012 diagnosis of external hydrocephalus 113 patients clinical data were retrospectively analyzed. Results The primary external hydrocephalus 39 cases,secondary 74 cases; symptoms disappear after active treatment cured 41 cases,improved in 27 cases,9 cases transferred to higher level hospitals,36 patients gave up treatment. Conclusion The external hydrocephalus images mainly for anterior cerebral subarachnoid space widened clinically can be divided into primary and secondary,secondary by reason more not treated early the prognosis is poor ; should deepen understanding of the clinical work experience unexplained recurrent seizures or increased head circumference in children should be CT or MR examination to confirm the diagnosis and tracing the primary disease,so that active treatment to avoid serious sequelae.