目的：对原发性脑室出血并急性脑水肿的临床诊断和治疗进行分析研究。方法：对笔者所在医院收治的59例脑室出血患者的临床诊治资料进行回顾分析。结果：36例表现为恶心、呕吐；均经CT明确诊断；均采用脑室引流手术治疗；本组患者经过治疗后，痊愈35例，好转5例，术后3个月内复发脑室出血4例，其余15例患者死亡，其治疗总有效率为67.80%。结论：原发性脑室出血伴急性脑水肿患者临床上以发热、呕吐等为主要表现，其治疗方法主要可采用脑室引流手术方法进行治疗。%Objective:To analyze the clinical diagnosis and treatment of primary intraventricular hemorrhage with acute cerebral edema.Method:The clinical data of 59 cases of patients with intraventricular hemorrhage were retrospectively analyzed.Result:36 cases were characterized by nausea and vomiting;the patients were diagnosed by CT;they were treated with ventricular drainage operation.In this group of patients after treatment,35 cases achieved heal standard,5 cases were improvement,the recurrence of cerebral hemorrhage were 4 cases in three months after operation,15 patients died,the total effect rate was 67.80%. Conclusion:The main manifestations of primary intraventricular hemorrhage with acute cerebral edema were fever,vomiting and so on as,the treatment mainly by ventricular drainage operation method.
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