Clinical research on the discovery of chronic hydrocephalus as soon as early and rehabilitative therapy 慢性脑积水患者的早期发现及康复治疗的临床研究
There were 16 cases of chronic hydrocephalus. 慢性脑积水16例。
Results The levels of P ⅰ CP, P ⅲ NP, HA and LN in posthemorrhagic chronic hydrocephalus group were significantly higher than that of the control group ( P < 0.01). 结果脑出血后慢性脑积水CSF中PⅠCP、PⅢNP、HA、LN含量均显著高于对照组(P<0.01)。
Methods 114 cases of aneurysmal subarachnoid hemorrhage verified by radiology and lumbar puncture from 1996 to 2003 were reviewed retrospectively, to identify factors contributing to chronic hydrocephalus. 对1996~2003年间收治的114例经影像学和腰穿证实的动脉瘤性蛛网膜下腔出血患者的临床表现和影像学检查资料进行回顾性分析。
Conclusion The increase of P ⅰ CP, P ⅲ NP, HA and LN levels in the cerebrospinal fluid may play an important role in the development of chronic hydrocephalus after cerebral hemorrhage. 结论CSF中PⅠCP、PⅢNP、HA、LN的含量升高可能在脑出血后慢性脑积水形成中具有重要意义。
Conclusion Continuous lumbar cistern drainage under the monitoring of intracranial pressure early can decrease the incidence of the post-operative CVS and chronic hydrocephalus complications of aneurysmal subarachnoid hemorrhage. 结论早期颅内压监测下腰大池持续引流能够有效地减少动脉瘤性蛛网膜下腔出血术后脑血管痉挛、慢性脑积水等严重并发症的发生率。
Methods The levels of P ⅰ CP, P ⅲ NP, HA and LN in the cerebrospinal fluid in 36 patients with posthemorrhagic chronic hydrocephalus and 29 patients without hydrocephalus ( control group) were detected by radioimmunoassay. 方法放射免疫法测定36例脑出血后慢性脑积水病人及29例对照者CSF中PⅠCP、PⅢNP、HA、LN的含量。
Treatment for chronic hydrocephalus under guidance of activating collaterals and Yang 慢性脑积水以活络通阳法治验
Results The incidence of chronic hydrocephalus was 12.7% in 221 patients with aSAH. 结果慢性脑积水的发生率为12.7%(28/221)。
The patient survived for at least 1 month after aSAH in order to evaluate the occurrence of chronic hydrocephalus. 患者出血后至少存活1月,以评估慢性脑积水的发生。
Generally speaking the course of chronic hydrocephalus is more than 1 month and patients with severe chronic hydrocephalus suffer from disturbance of consciousness, incontinence, progressive dementia and gait instability. 一般来说慢性脑积水病程在1月以上,重度的慢性脑积水可出现意识障碍、大小便失禁、进行性痴呆、步态不稳。
The underlying etiologies included chronic tumors, trauma, cerebrovascular diseases, inflammation, diabetes, hydrocephalus, and parasitosis. 癫痫发作的病因包括肿瘤、头外伤、脑血管病、炎症、糖尿病、寄生虫。
The incidence of chronic hydrocephalus due to ruptured aneurysms are very different in some study. 报道破裂动脉瘤患者发生慢性脑积水的发生率有很大差别。
The patients with severe chronic hydrocephalus treated by promptly ventricle-peritoneal shunt could get the same clinical prognosis as mild chronic hydrocephalus or not. 重度慢性脑积水患者及时行脑室腹腔分流术可得到确切良好的预后结果。