CAJ | 학술논문

目的：探讨自发性蛛网膜下腔出血患者形成脑积水的相关因素。方法回顾性分析2010-2012年江西省人民医院神经外科收治的360例自发性蛛网膜下腔出血患者中形成脑积水的80例患者的临床资料，对可能引起脑积水的因素进行多元logistic分析。结果通过对这些患者的临床资料多元logistic分析得出，与自发性蛛网膜下腔出血患者形成脑积水的相关因素有患者年龄、术前Hunt-Hess分级、脑血管痉挛、脑室积血与脑积水的形成密切相关，其中OR分别为1.030、1.176、4.028和0.671。结论自发性蛛网膜下腔出血患者形成脑积水与多种因素相关，对于这类脑积水患者必须早诊断、早治疗，才能有效改善预后。
목적：탐토자발성주망막하강출혈환자형성뇌적수적상관인소。방법회고성분석2010-2012년강서성인민의원신경외과수치적360례자발성주망막하강출혈환자중형성뇌적수적80례환자적림상자료，대가능인기뇌적수적인소진행다원logistic분석。결과통과대저사환자적림상자료다원logistic분석득출，여자발성주망막하강출혈환자형성뇌적수적상관인소유환자년령、술전Hunt-Hess분급、뇌혈관경련、뇌실적혈여뇌적수적형성밀절상관，기중OR분별위1.030、1.176、4.028화0.671。결론자발성주망막하강출혈환자형성뇌적수여다충인소상관，대우저류뇌적수환자필수조진단、조치료，재능유효개선예후。
Objective Explorate correlational factors of formation of hydrocephalus in patients with spontaneous subarachnoid hemorrhage. Methods Retrospective analysis the clinical data of 80 cases patients of formation of hydrocephalus of 360 cases spontaneous subarachnoid hemorrhage disease patients in our section form 2010 to 2012, multivariate logistic analysis was carried out on the possible causes of hydrocephalus. Results Through these clinical data derived multivariate logistic regression analysis, and the formation of hydrocephalus in patients with spontaneous subarachnoid hemorrhage related factors:age, preoperative patient Hunt-Hess classiifcation, cerebral vasospasm, intraventricular hemorrhage are closely related to the formation of hydrocephalus, which OR was 1.030,1.176,4.028,0.671. Conclusion The formation of hydrocephalus in patients with spontaneous subarachnoid hemorrhage associated with many factors, for this type of hydrocephalus patients must be early diagnosis, early treatment, can effectively improve the prognosis.