摘要
目的 对自发性脑室出血的临床表现、治疗及预后进行分析。方法 对过去 11年间的 5 0例内、外科治疗的病人 ,回顾性分析并进行讨论。结果 临床上出现意识障碍、抽搐、尿失禁、眼位异常、四肢瘫痪及双侧病理征阳性者预后差。意识障碍出现越早 ,程度越重 ,死亡率越高 ,脑室内积血范围直接影响预后。头颅CT示全脑室积血死亡率高达 60 % ;外科穿刺引流能减少死亡率。结论 对脑室出血预后判断非常重要 ,经采取措施积极穿刺治疗可降低死亡率。
Objective To study the clinical manifestations, treatment and prognosis of the primary ventricle hemorrhage.Methods Fifty cases in the past 11 years were analyzed retrospectively.Results The clinical menifestations,such as conscious obstructive,urinary incontinence,squintion eyes,quadriplegia,and positive pathologic reflex,etc,suggested that the prognosis be serious.The earlier the conscious obstructive emerged,the worse the situations were,and the highier the mortality rate was.The range of ventricle hemorrhage influenced the prognosis directly.Showed by head CT,the full ventricle hemorrhage caused the mortality as high as 60 percent.Surgery flows,can also reduce the puncture of death rate to draw.Conclusion The judgement of the ventricle hemorrhage was very important to prognosis,the mortality could be reduced by taking vigorous measures and energetic treatment.
出处
《河南实用神经疾病杂志》
2004年第1期11-12,共2页
Henan Journal of Practical Nervous Diseases
