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目的探讨动脉瘤性蛛网膜下腔出血(aSAH)后慢性脑积水的临床特点及护理。方法回顾分析32例aSAH后慢性脑积水患者的临床资料。结果不同年龄、Hunt-Hess分级、动脉瘤部位、出血次数及有无脑室积血的患者,aSAH后慢性脑积水的发生率存在显著性差异(均P<0.01)。结论aSAH后脑积水的形成与年龄、Hunt-Hess分级、动脉瘤部位、出血次数以及脑室是否积血有密切联系。加强动脉瘤性蛛网膜下腔出血后慢性脑积水的观察和护理,可以改善患者的预后。
Objective To investigate the clinical features and nursing of chronic hydrocephalus after aneurysmal subarachnoid hemorrhage (aSAH). Methods The clinical data of 32 patients with chronic hydrocephalus after aSAH were retrospectively analyzed. Results There was a significant difference in the incidence of chronic hydrocephalus after aSAH (P <0.01) in patients of different ages, Hunt-Hess grade, aneurysm site, number of hemorrhage and presence or absence of ventricular hemorrhage. Conclusion The formation of hydrocephalus after aSAH is closely related with age, Hunt-Hess grade, aneurysm site, number of hemorrhage and ventricular accumulation of blood. Enhance the aneurysmal subarachnoid hemorrhage after chronic hydrocephalus observation and care, can improve the prognosis of patients.