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Wysłany: Wto 17:17, 19 Kwi 2011 Temat postu: ray ban sunglasses And thalamic hemorrhage rupture |
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1.1 General information from January 2005 to January 2009 of Neurosurgery, First Hospital of Zibo City thalamic hemorrhage admitted to breaking into the ventricle combined 45 patients with hydrocephalus , including 9 cases of combined basal ganglia hemorrhage, of which 29 males and 16 females, aged 39 to 71 years, an average of 61 years. Admission Glasgow (GCS) score of 12 to 14 points in 6 cases, 8 to 11 points in 23 cases, 4 to 7 points in 16 cases. Confirmed by CT were broken into ventricles combined thalamic hemorrhage hydrocephalus, thalamic hemorrhage in 10 ~ 60 ml [calculated according to brain hemorrhage more than hematoma volume CT Tian proposed formula T (ml) = (π) / (6) × L (long axis) × S (short axis) × SIice (slice thickness) (cm) to calculate].
2 results
this group of patients with hydrocephalus in time for the first 2 to 51 days. 8 patients 2 to 10 days there hydrocephalus, and CT confirmed that thalamic hemorrhage volume <20> 30 ml to consider surgical removal of hematoma [2]), and whether hydrocephalus,[link widoczny dla zalogowanych], thalamic hematoma puncture and drainage lines or ventricular drainage or conservative treatment, observing closely, according to CT continuous observation confirmed no obvious improvement in hydrocephalus or progressive increase, or external ventricular drainage Dai tube too long, generally more than 15 days and still no hydrocephalus improvement or progressive increase, consider the VP shunt; hematoma puncture and drainage pipes under the review of CT drainage of the hematoma observed the situation, to be in possession time is normally 3 to 5 days, such as hydrocephalus after extubation persist or increase, then continue to line the brain outdoor drainage and (or) VP shunt.
And thalamic hemorrhage ruptured into the ventricle treatment of hydrocephalus
Abstract Objective thalamic hemorrhage broken into ventricles hydrocephalus combined choice of treatment. Methods Retrospective analysis of the past 5 years,[link widoczny dla zalogowanych], our department 45 patients with thalamic hemorrhage admitted breaking into the ventricle in patients with combined treatment of hydrocephalus the clinical data. Results after conservative treatment in 45 patients, hematoma puncture (cranial hematoma puncture and drainage holes), ventricular drainage,[link widoczny dla zalogowanych], VP shunt (lateral ventricle shunt), and other ways to cure 37 patients, accounting for 82.22%, were discharged in 5 cases, death 3. Conclusion Whether hematoma puncture, VP shunt or ventricular drainage should be removed as soon as possible both inside and outside intraventricular hemorrhage and restore patency of cerebrospinal fluid circulation, improve microcirculation of the brain, which is to reduce morbidity and mortality, the key to successful treatment. Chinese papers League finishing.
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