[摘要]目的探讨外伤性脑积水的发病机理和防治。方法 对2004-2010年在我院收治的42例经CT 和M R I 证实的外伤性脑积水的临床资料进行总结分析，42 例均行脑室-腹腔分流术。结果 术后颅高压征象均得以改善;复查CT,36 例脑室明显缩小,4 例好转，2 例变化不明显;出院转归,良好31例,中残6 例,重残2 例,植物生存2 例,死亡1 例。结论 对严重脑外伤的病人,积极预防和及时治疗外伤后脑积水,能提高病人的生存质量和预后。

    [关键词]颅脑外伤; 脑积水; 脑室-腹腔分流术

    [中图分类号] R651[文献标识码]A [文章编号] 1005-0515(2010)-10-001-01

    Brain trauma the hydrocephalus on 42 cases Diagnosis and treatment

    Bai zhuo DONG,Zhi gang SUN,Wei dong JIE,Jun sheng LV，Qiang WEI

    (Inner mongolia autonomous region Baotou City centre hospital, Neurosurgery 014040)

    [Abstract]ObjectiveTo investigate the incidence of traumatic hydrocephalus mechanism and prevention. Methodsfrom 2004-2010 in our hospital treated 42 patients with CT and MRI confirmed traumatic hydrocephalus clinical data were analyzed, 42 patients underwent ventriculo - peritoneal shunt. Resultsafter all signs of intracranial hypertension can be improved; review of CT, 36 Li ventricle significantly reduced, four cases of improvement in two cases did not change significantly; discharged vesting, good in 31 cases, the residual in 6 cases, severe disability in 2 cases, plant survival of two cases of death in 1 case. ConclusionThe patients with severe brain trauma, positive prevention and timely treatment of traumatic brain hydrocephalus, can increase the patient's quality of life and prognosis. ......