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创伤性脑室内出血

Traumatic intraventricular haemorrhage.

作者信息

Sato M, Tanaka S, Kohama A, Fujii C

机构信息

Department of Emergency Medicine, Kawasaki Medical School, Okayama, Japan.

出版信息

Acta Neurochir (Wien). 1987;88(3-4):95-103. doi: 10.1007/BF01404144.

Abstract

The findings of computerized tomography and clinical features were studied in 19 patients with traumatic intraventricular haemorrhage. Blood was found in various portion of the ventricles. Main sites of the blood was as follows: around the foramen of Monro, 6 patients; in the body and occipital horn of the lateral ventricle, 5 patients; solely in the occipital horn, 8 patients. The haemorrhage around the foramen of Monro, resulting from contusion of the ventral portion of the corpus callosum, septum pellucidum, and fornix, showed an interesting CT finding. Intracranial co-existing lesions were seen in 17 patients, and extracranial lesions were seen in 13 patients, suggesting the external force was excessive. Both the Glasgow coma scale scores on admission and Glasgow outcome scale were generally unfavourable, but 4 patients showed good recovery. The final outcome was mainly influenced by the severity of the co-existing intracranial lesions.

摘要

对19例创伤性脑室内出血患者的计算机断层扫描结果和临床特征进行了研究。在脑室的不同部位发现了血液。血液的主要部位如下:室间孔周围,6例;侧脑室体部和枕角,5例;仅在枕角,8例。胼胝体腹侧部、透明隔和穹窿挫伤导致的室间孔周围出血显示出有趣的CT表现。17例患者发现颅内并存病变,13例患者发现颅外病变,提示外力过大。入院时的格拉斯哥昏迷量表评分和格拉斯哥预后量表评分总体不佳,但4例患者恢复良好。最终结局主要受颅内并存病变严重程度的影响。

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