摘要
目的:探讨通过外科手术治疗由于动脉瘤破裂出血引起急性脑积水的手术时机、指征、方法及手术效果。方法:对经过手术治疗的动脉瘤破裂出血引起急性脑积水46例患者的临床资料进行回顾性分析。结果:术后3天复查,所有患者脑积水的情况均有不同程度的减轻,其中37例患者脑积水完全消失。术后14天复查,共7例患者存在轻度的脑积水。术后6个月复查,仅2例患者转变为慢性交通性脑积水,且需手术治疗。结论:对动脉瘤破裂出血引起急性脑积水的患者,应尽早采取外科手术治疗,并在术中采取针对急性脑积水的相应措施,可以极大的降低此类患者转变为慢性脑积水的风险。
Objective：Study the surgical indications,methods and results of acute hydrocephalus caused by rupture of aneurysm.Methods：Clinical data of the 46 postoperative patients who had acute hydrocephalus caused by rupture of aneurysm,were analyzed retropectively.Results：All the hydrocephalus after operation were improved in some degree and 37 patients＇ the hydrocephalus disappeared completely after 3 days,and 7 patients had benign hydrocephalus after 14 days.Only 2 patients had chronic communicating hydrocephalus after 6 months and needed operation.Conclusion：The early operation and reasonable methods to treat acute hydrocephalus in operation could decrease the risk of chronic hydrocephalus in most of the patients.
出处
《华西医学》
CAS
2008年第2期216-217,共2页
West China Medical Journal
