Elderly patients with acute hydrocephalus Clinical analysis of surgical treatment.docVIP

 PAGE \* MERGEFORMAT 14 Elderly patients with acute hydrocephalus Clinical analysis of surgical treatment Of: ZHU Xiao-bo Majin Liang Li Jinglong Ren Zhonghui Keywords: acute hydrocephalus; surgical treatment; elderly Acute hydrocephalus may be complicated by acute intracranial hypertension crisis, leads to death. In recent years, with the development of the world’s population aging, elderly patients with hydrocephalus the detection rate increases each year. In this paper, our hospital from 2007 to 2009 surgical treatment of acute hydrocephalus in elderly patients ( 60 years) clinical analysis of 24 cases. 1 Clinical data 1.1 General information on 24 cases of hydrocephalus, including 9 males and 15 females. Aged 60 to 75 average (66 5.8) years. Including post-traumatic intracerebral hematoma subarachnoid hemorrhage in 2 cases, post-traumatic posterior fossa hematoma in 1 case of hypertensive cerebral hemorrhage broken into ventricles and intraventricular hemorrhage in 10 patients with aneurysmal subarachnoid hemorrhage in 11 cases; combined intraventricular hemorrhage in 7 cases, 4 cases of subarachnoid hemorrhage alone. 1.2 Clinical manifestations, headache, vomiting in 12 cases, 12 cases of disturbance of consciousness, in which disturbance of consciousness caused by cerebral hemorrhage, 10 cases of disturbance of consciousness caused by trauma in 2 cases. 1.3 Imaging the whole group are different degrees of expansion of the ventricular system, which combined intracerebral hematoma and / or intraventricular hemorrhage in 13 cases, 13 cases of subarachnoid hemorrhage. 1.4 surgical procedures tend to have hydrocephalus without surgical contraindications in the case of a positive line of lateral ventricle puncture early continuous external drainage of cerebrospinal fluid, lumbar drainage of cerebrospinal fluid continuous or repeated lumbar puncture and CSF release treatment. For associated with intraventricular hemorrhage or hemato