| 李彤,邹飞.蛛网膜下腔炎性抑制对蛛网膜下腔出血后脑室扩大的预防作用[J].中国医学影像技术,2007,23(6):849~851 |
| 蛛网膜下腔炎性抑制对蛛网膜下腔出血后脑室扩大的预防作用 |
| Preventive effect of inflammation inhibition in the subarachnoid to ventricle enlargement after subarachnoid hemorrhage |
| 投稿时间：2006-11-20 修订日期：2007-05-08 |
| DOI： |
| 中文关键词: 蛛网膜下腔出血 交通性脑积水 地塞米松 |
| 英文关键词:Subarachnoid hemorrhage Communicating hydrocephalus Dexamethasone |
| 基金项目:本课题受河南省教育厅基金资助(200510472022)。 |
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| 中文摘要: |
| 目的 研究蛛网膜下腔出血(SAH)后蛛网膜下腔的炎性抑制对交通性脑积水发生的预防作用。方法 按急性期CT显示的蛛网膜下腔出血量参照Hijdra方法评分,选取积分为4分以上的SAH患者,常规治疗组(对照组)和常规治疗加地塞米松鞘内注射组(治疗组),分别于病程的初期和20天后在头颅CT上行脑室各值测量,包括哈(Huckman)氏值、三脑室宽度、前角指数、侧脑室体宽指数等。结果 全部75例患者各脑室测量值在病程后期均有不同程度的脑室扩大(P＜0.001),而对照组较治疗组脑室扩大明显(哈氏值、前角指数P＜0.05)。结论 蛛网膜下腔炎性抑制对SAH后脑室扩大有预防作用。 |
| 英文摘要: |
| Objective To study the preventive effect of inflammation inhibition in the subarachnoid on the occurrence of communicating hydrocephalus after subarachnoid hemorrhage (SAH). Methods Refer to the Hijdra's method, we scored the hemorrhage amount in the subarachnoid from patients in acute stage CT scan. The patients whose total scores exceeded 4 grades were selected for study, being divided into the control group (regular treatment group) and the therapy group (regular treatment + injection of Dexamethasone into the subarachnoid). The ventricle Huckman data, width of the third ventricle, rontal horn index and index of lateral ventricle width were measured from skull CT scans in the initial stage and 20 days later respectively. Results Each cerebral ventricle data of patients was enlarged in different degrees in later stage (P<0.001), the Huckman data and the frontal horn index showed obvious difference between the control group and the therapy group (P<0.05). Conclusion The inflammation inhibition in the subarachnoid can prevent the occurrence of ventricle enlargement after SAH. |
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