目的：探讨动脉瘤性蛛网膜下腔出血后急性脑积水的临床特点和手术治疗效果。方法选取2008-02-2012-09我院收治的48例动脉瘤性蛛网膜下腔出血后急性脑积水患者，对48例患者进行头颅C T扫描，分析其临床特点，采用脑室外引流术治疗，治疗结束后观察临床效果。结果治疗后38例临床症状明显改善，10例临床症状出现好转。术后对48例患者进行C T复查，其中41例脑室恢复正常，3例明显缩小，4例稍缩小，治疗6个月后随访，其中45例临床治愈，3例复发，再次治疗后治愈。结论 CT检查是诊断动脉瘤性蛛网膜下腔出血后急性脑积水的可靠手段，脑室外引流术可明显改善动脉瘤性蛛网膜下腔出血后急性脑积水患者的临床症状，提高治愈率，值得临床推广应用。%Objective To discuss the clinical characteristic ,diagnosis and treatment of acute hydrocephalus after aneurys-mal subarachnoid hemorrhage. Methods From February 2008 to September 2012 in our hospital ,48 cases with after acute hy-drocephalus after aneurysmal subarachnoid hemorrhage were selected to study. They were scanned by CT ,the clinical features of them were analyzed ,and they were treated by brain outdoor drainage treatment. After treatment ,they were investigated.Results After treatment ,the clinical status of 38 cases were obviously improved ,and of 10 cases got cured. The cerebral ven-tricle status under CT scan :41 cases got normal ,3 cases obviously deflated ,4 cases deflated a little. After 6 months of treat-ment ,the cases were followed up ,45 cases got clinical cured ,3 cases got recured and finally got clinical cured. Conclusion CT examination is a reliable means for diagnosis of acute hydrocephalus after aneurysmal subarachnoid hemorrhage ,and ventricular drainage can significantly improve their symptoms and improve the patient's cure rate. It is worthy of clinical application.
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