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创伤性脑室内出血的预后

Prognosis in traumatic intraventricular haemorrhage.

作者信息

Jayakumar P N, Kolluri V R, Basavakumar D G, Arya B Y, Das B S

机构信息

Department of Neuro Radiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.

出版信息

Acta Neurochir (Wien). 1990;106(1-2):48-51. doi: 10.1007/BF01809332.

Abstract

Traumatic intraventricular haemorrhage (TVH) is rare. The clinical profile and prognosis in 16 patients with traumatic intraventricular haemorrhage after blunt head injury are evaluated. Majority of the patients (94%) had low Glasgow coma score (less than 8) on admission and none had a lucid interval. CT showed haematoma adjacent to the foramen of Monroe in 5 patients and localised to the frontal horn or the body of the lateral ventricle in six. The mortality was 62.5% in this subgroup of patients with head injury. Our findings are compared to those of previous reports in the literature. The poor prognosis of cases with TVH reflects the severity of trauma and general brain damage and is probably not related only to the intraventricular bleeding.

摘要

创伤性脑室内出血(TVH)较为罕见。对16例钝性头部损伤后发生创伤性脑室内出血患者的临床特征及预后进行了评估。大多数患者(94%)入院时格拉斯哥昏迷评分较低(低于8分),且无一例有清醒期。CT显示,5例患者血肿位于孟氏孔附近,6例位于额叶角或侧脑室体部。该组头部损伤患者的死亡率为62.5%。我们的研究结果与文献中先前报道的结果进行了比较。TVH病例预后较差反映了创伤和脑损伤的严重程度,可能不仅仅与脑室内出血有关。

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