关键词: 颅脑损伤, 脑室内出血, 治疗

Abstract: To disscuss the clinical characteristics, pathogenesis and management of traumatic intraventricular hemorrhage (IVH), 50 cases of IVH were included in this study. The etiology, mechanisms, clinical and CT characteristics, management and prognosis of this injury were analyzed. Thirtytwo(64%) of the cases were caused by traffic accidents. Most patients presented meningeal irritation and fever. In 19 of the cases, the complication of primary brain stem injury was clinically diagnosed. 15 cases could be diagnosed as diffused axonal injury according to CT scan. In the group of death, Glascow Coma Scale(GCS) was significantly lower than that in the survival group, while the Graeb Scale of IVH was significantly higher. Most patients were complicated by other kinds of traumatic brain injury through CT test. In treatment, craniotomy was performed on 5 patients. V P shunts were performed on 3 patients. As the result, 24 patients died, 2 patients were in a vegtative state, 8 patients were severely disabled, 6 patients were mildly disabled and 10 patient were fully recovered. Traumatic IVH has a close relationship with diffused axonal injury. Both lesions are caused by shear stress in deep structure of the brain. The complicated injuries which need more attention in management are commonly more serious than the IVH itself. The prognosis of this injury depends mainly on the ages of patients, state of consciousness on admissison, the amount of hemorrhage, types and degrees of complicated injuries, degree of fever and vasospasm etc.

Key words: traumatic brain injury, intraventricular hemorrhage, managemenh