外傷性腦積水的研究進(jìn)展
本文選題:外傷性腦積水 + 發(fā)病機(jī)制 ; 參考:《河北醫(yī)科大學(xué)》2017年碩士論文
【摘要】:創(chuàng)傷性顱腦損傷(Traumatic brain injury,TBI)是指因?yàn)橥饬ψ饔糜陬^部所致的顱腦損傷,包括頭部打擊、高處墜落、交通事故等。外傷性腦積水(post-traumatic hydrocephalus,PTH)是顱腦創(chuàng)傷后常見并發(fā)癥之一。隨著醫(yī)學(xué)技術(shù)的發(fā)展,顱腦損傷患者的救治成功率的越來越高,PTH的發(fā)生率逐漸增高,PTH會(huì)嚴(yán)重地影響患者的生活質(zhì)量及預(yù)后,對(duì)個(gè)人和社會(huì)造成嚴(yán)重的負(fù)擔(dān),因此醫(yī)務(wù)工作者對(duì)PTH越來越重視。PTH的發(fā)病機(jī)制尚未完全明確,目前主流的觀點(diǎn)認(rèn)為腦脊液的分泌、吸收及循環(huán)通路的障礙是PTH發(fā)展的原因,但最近也有研究認(rèn)為,腦脊液的滲透壓負(fù)荷及腦脊液動(dòng)力學(xué)的病理改變是腦積水發(fā)展的原因。明確PTH的發(fā)病機(jī)制可以使患者得到更加有效的預(yù)防及治療。因此,更好的了解PTH的發(fā)生率、分類、發(fā)病機(jī)制、危險(xiǎn)因素、診斷標(biāo)準(zhǔn)、預(yù)防、治療及治療后效果的評(píng)估、并發(fā)癥的處理及PTH的治療前景,對(duì)于PTH的治療具有關(guān)鍵性作用。本文通過對(duì)大量的文獻(xiàn)的歸納及總結(jié)將對(duì)上述內(nèi)容逐一做綜述。
[Abstract]:Traumatic craniocerebral injury (TBI) refers to craniocerebral injury caused by external force acting on the head, including head blow, falling from height, traffic accident and so on. Post-traumatic hydrocephalus PTH is one of the common complications of traumatic hydrocephalus. With the development of medical technology, the rate of successful treatment of patients with craniocerebral injury is higher and higher. PTH will seriously affect the quality of life and prognosis of patients, and will cause a serious burden on individuals and society. Therefore, medical workers pay more and more attention to PTH and the pathogenesis of PTH is not completely clear. At present, the mainstream view is that the obstacle of cerebrospinal fluid secretion, absorption and circulatory pathway is the reason for the development of PTH. The osmotic loading of cerebrospinal fluid and the pathological changes of cerebrospinal fluid dynamics are the reasons for the development of hydrocephalus. Understanding the pathogenesis of PTH can make patients more effective prevention and treatment. Therefore, a better understanding of PTH incidence, classification, pathogenesis, risk factors, diagnostic criteria, prevention, treatment and post-treatment evaluation, treatment of complications and PTH treatment prospects, PTH treatment plays a key role in the treatment of PTH. In this paper, a large number of literature will be summarized and summarized one by one.
【學(xué)位授予單位】:河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2017
【分類號(hào)】:R651.15
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 袁強(qiáng);周志龍;步星耀;孫彥熙;閆兆月;馬春曉;屈鳴麒;張慧;;腦室內(nèi)出血后腦積水形成的多因素分析[J];中華腦科疾病與康復(fù)雜志(電子版);2015年01期
2 林發(fā)牧;許小兵;;神經(jīng)內(nèi)鏡加腹腔鏡輔助與常規(guī)的腦室腹腔分流術(shù)后分流系統(tǒng)失效率比較[J];中華神經(jīng)醫(yī)學(xué)雜志;2014年08期
3 任小罡;;30例外傷性腦積水的診斷與治療[J];中國(guó)衛(wèi)生產(chǎn)業(yè);2014年21期
4 張哲英;唐勇;甄玲玲;安宏;馬莉;;尼莫地平治療外傷性蛛網(wǎng)膜下腔出血療效的系統(tǒng)評(píng)價(jià)[J];重慶醫(yī)學(xué);2014年18期
5 倪修紅;淦作松;吳君;;中西藥對(duì)比治療蛛網(wǎng)膜下腔出血后腦血管痙攣效果觀察[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2014年07期
6 趙旭;王樹凱;楊波;孫劍瑞;;腦室-腹腔分流術(shù)對(duì)治療外傷性腦積水的臨床效果分析[J];河南醫(yī)學(xué)研究;2014年01期
7 葉暉;陳治標(biāo);;腦室-腹腔分流治療重型顱腦損傷術(shù)后腦積水合并硬膜下積液[J];卒中與神經(jīng)疾病;2013年05期
8 張毅;柏魯寧;柯尊華;侯文;方永軍;;重型顱腦損傷患者術(shù)后腦積水形成相關(guān)因素分析[J];中國(guó)神經(jīng)精神疾病雜志;2013年09期
9 沈紅健;黃流清;;特發(fā)性正常壓力腦積水的診斷研究進(jìn)展[J];中華神經(jīng)醫(yī)學(xué)雜志;2013年08期
10 吳中華;沈劍虹;周非;顧志愷;陳建;高宜錄;倪蘭春;;遲發(fā)性外傷后腦積水相關(guān)因素的研究[J];南通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2013年01期
,本文編號(hào):1995235
本文鏈接:http://sikaile.net/yixuelunwen/jjyx/1995235.html