CAJ | 학술논문

目的：分析颅脑外伤并发脑积水的原因与脑室腹腔分流术治疗效果。方法：收治颅脑外伤并发脑积水患者20例，回顾与分析临床资料，分析颅脑外伤后并发脑积水的原因以及脑室腹腔分流术临床疗效。结果：行脑室腹腔分流术后，减压窗压力显著降低，患者部分功能与意识均有一定程度好转，GCS评分提高。术后15 d，对患者行颅脑CT复查，其结果显示与术前相比，全脑室系统明显缩小，其中以侧脑最为明显。结论：颅脑外伤并发脑积水主要是由于蛛网膜下腔出血与脑内积血两个原因所引起的，及时采取脑室腹腔分流术，能明显提升临床疗效，有助于患者预后的改善。
목적：분석로뇌외상병발뇌적수적원인여뇌실복강분류술치료효과。방법：수치로뇌외상병발뇌적수환자20례，회고여분석림상자료，분석로뇌외상후병발뇌적수적원인이급뇌실복강분류술림상료효。결과：행뇌실복강분류술후，감압창압력현저강저，환자부분공능여의식균유일정정도호전，GCS평분제고。술후15 d，대환자행로뇌CT복사，기결과현시여술전상비，전뇌실계통명현축소，기중이측뇌최위명현。결론：로뇌외상병발뇌적수주요시유우주망막하강출혈여뇌내적혈량개원인소인기적，급시채취뇌실복강분류술，능명현제승림상료효，유조우환자예후적개선。
Objective:To analyze the cause and the treatment effect of ventriculoperitoneal shunt of craniocerebral trauma combined with hydrocephalus.Methods:20 cases of craniocerebral trauma combined with hydrocephalus were selected.The clinical data were reviewed and analyzed.The cause of craniocerebral trauma combined with hydrocephalus and the clinical curative effect of ventriculoperitoneal shunt were analyzed.Results:After ventriculoperitoneal shunt,the decompression window pressure was decreased.The partial function and consciousness of patients had a certain degree of improvement.GCS score was increased.Postoperative 15 days,the patients were given craniocerebral CT reexamination.The results showed that compared with the pre-operation,intraventricular system was significantly reduced,and the lateral ventricle was the most obvious.Conclusion:Craniocerebral trauma combined with hydrocephalus is mainly caused by subarachnoid hemorrhage and cerebral hemorrhage two causes.Timely taking ventriculoperitoneal shunt can significantly improve the clinical curative effect,and help to improve the prognosis of the patients.