Analysis On Factors Related To Traumatic Hydrocephalus After Severe Craniocerebral Injury

Purpose:To explore the factors related to hydrocephalus after severe head injury and the time of occurrence for providing a theoretical basis for clinical prevention and treatment of traumatic hydrocephalus.Research methods:by collection on large quantity of hospitalization data of patients with severe craniocerebral injury,these data included general data and case related data of the patients and follow-up of patients for continuous 6 months being completed;case data was completed;the study subjects were grouped according to diagnosis criteria of traumatic hydrocephalus,the grouping criteria was to group the patients into the group without hydrocephalus after trauma and the group with hydrocephalus after trauma according to whether the patients had hydrocephalus.The study was intended to analyze age,gender,intraventricular hemorrhage and subdural effusion,whether the patient had coma and coma time,Glasgow coma scoring,traumatic subarachoid hemorrhage?single occurrence and the diffusibility?,Functional Independence Measurement,hospitalization time,epidural hematoma,whether the patients underwent lumbar puncture or lumbar cistern drainage released bloody cerebrospinal fluid and whether the patients who underwent craniotomy decompressive craniectomy had infection as well as other factors and to conduct single-factor analysis;the analysis methods included T test?two-sample t-test?,Pearson Chi-square test and U test.Then,Logistic Regression Analysis was used to conduct multiple factor analysis gradually.Results:Among 301 patients with severe head injury during this study,46patients had hydrocephalus after a period of time,and the incidence rate was 15.2%.3patients had hydrocephalus after one week,which accounts for 6.5%of the total amount.43 patients had hydrocephalus within 2 to 3 months after the occurrence of an injury,which accounts for 93.5%.Analysis results of various factors of traumatic hydrocephalus caused by severe head injury show,whether to take decompressive craniectomy or not,how much traumatic subarachnoid hemorrhage is,whether there is intraventricular hemorrhage,whether subdural hematoma happens or not,the patient's age,degree of head injury,whether there is intracranial infection,whether the lumbar puncture cerebrospinal fluid replacement should be operated or not,there exists statistically significance of these differences?P<0.05?.The difference in the patient's gender and length of hospital stay was not of statistical significance?P>0.05?.Traumatic hydrocephalus intracranial pressure is mostly between 70 and 150mmH₂0.Conclusion:1.Difference on decompressive craniectomy,whether there is intracranial infection,whether the patients underwent lumbar cistern or lumbar punctures,traumatic subarachnoid hemorrhage,ventricular hemorrhage,subdural effusion,age,subdural hematoma,coma?have or not have,lasting time?,GCS,Functional Independent Measurement is related with traumatic hydrocephalus.2.Most of traumatic hydrocephalus occurs within 2 to 3 months after the injury,mostly showing hydrocephalus under normal pressure.