原发性脑室出血伴急性脑水肿的临床分析

摘要

Objective To investigate the clinical treatment of primary ventricular hemorrhage and acute cerebral edema disease.Methods Selected 59 cases of primary ventricular hemorrhage (PIVH) from July 2011 to August 2012 in our hospital, retrospective analysis the clinical diagnosis, treatment and therapeutic process.Results 36 cases of nausea, vomiting and other symptoms, using CT diagnosis were diagnosed, patients provides ventricle drainage treatment, after treatment, a total of 35 cases were cured, 5 cases improved, 4 cases in March after recurrence, 15 cases of death, clinical treatment, the effective rate was 67.8%, mortality is 25.42%. Conclusion The primary cerebral hemorrhage with acute cerebral edema patients can choose ventricular drainage surgery, patients with clinical symptoms, such as fever, vomiting, should be paid attention to.%目的：探讨临床治疗原发性脑室出血并急性脑水肿疾病的方法。方法根据2011年7月～2012年8月我院的59例原发性脑室出血（PIVH）患者进行探讨，对患者的临床诊断和治疗过程进行回顾分析。结果全部患者中36例出现恶心、呕吐等症状，使用CT诊断均确诊，为患者提供了脑室引流手术治疗，经过治疗后，共有35例痊愈、5例好转、4例3月后复发，15例死亡，临床治疗有效率是67.80%，死亡率为25.42%。结论原发性脑室出血伴急性脑水肿患者可以选择脑室引流手术治疗，患者临床中会出现发热、呕吐等症状，应该引起重视。