中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
13期
112-112,113
,共2页
李舜%唐晓平%唐文国%冯凌%赵龙%段军伟
李舜%唐曉平%唐文國%馮凌%趙龍%段軍偉
리순%당효평%당문국%풍릉%조룡%단군위
原发性脑室出血%急性脑水肿
原髮性腦室齣血%急性腦水腫
원발성뇌실출혈%급성뇌수종
Primary intraventricular hemorrhage%Acute cerebral edema
目的：对原发性脑室出血并急性脑水肿的临床诊断和治疗进行分析研究。方法：对笔者所在医院收治的59例脑室出血患者的临床诊治资料进行回顾分析。结果：36例表现为恶心、呕吐；均经CT明确诊断；均采用脑室引流手术治疗；本组患者经过治疗后，痊愈35例，好转5例，术后3个月内复发脑室出血4例，其余15例患者死亡，其治疗总有效率为67.80%。结论：原发性脑室出血伴急性脑水肿患者临床上以发热、呕吐等为主要表现，其治疗方法主要可采用脑室引流手术方法进行治疗。
目的：對原髮性腦室齣血併急性腦水腫的臨床診斷和治療進行分析研究。方法：對筆者所在醫院收治的59例腦室齣血患者的臨床診治資料進行迴顧分析。結果：36例錶現為噁心、嘔吐；均經CT明確診斷；均採用腦室引流手術治療；本組患者經過治療後，痊愈35例，好轉5例，術後3箇月內複髮腦室齣血4例，其餘15例患者死亡，其治療總有效率為67.80%。結論：原髮性腦室齣血伴急性腦水腫患者臨床上以髮熱、嘔吐等為主要錶現，其治療方法主要可採用腦室引流手術方法進行治療。
목적：대원발성뇌실출혈병급성뇌수종적림상진단화치료진행분석연구。방법：대필자소재의원수치적59례뇌실출혈환자적림상진치자료진행회고분석。결과：36례표현위악심、구토；균경CT명학진단；균채용뇌실인류수술치료；본조환자경과치료후，전유35례，호전5례，술후3개월내복발뇌실출혈4례，기여15례환자사망，기치료총유효솔위67.80%。결론：원발성뇌실출혈반급성뇌수종환자림상상이발열、구토등위주요표현，기치료방법주요가채용뇌실인류수술방법진행치료。
Objective:To analyze the clinical diagnosis and treatment of primary intraventricular hemorrhage with acute cerebral edema.Method:The clinical data of 59 cases of patients with intraventricular hemorrhage were retrospectively analyzed.Result:36 cases were characterized by nausea and vomiting;the patients were diagnosed by CT;they were treated with ventricular drainage operation.In this group of patients after treatment,35 cases achieved heal standard,5 cases were improvement,the recurrence of cerebral hemorrhage were 4 cases in three months after operation,15 patients died,the total effect rate was 67.80%. Conclusion:The main manifestations of primary intraventricular hemorrhage with acute cerebral edema were fever,vomiting and so on as,the treatment mainly by ventricular drainage operation method.
