附属医院AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIVERSITY附属医院AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIVERSITY发发生率生率脑脑外外伤伤后后脑积脑积水水发发生率生率为为 0.7-2.9%去骨瓣减去骨瓣减压术压术后后脑积脑积水(水(PTH)发发生率生率 JOURNAL OF NEUROTRAUMA (2011)10-40%附属医院AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIVERSITY诊诊断断Evans指数指数MRIICP脑脑室系室系统扩统扩大大去骨瓣后去骨瓣后Evans指数指数还还准嘛?准嘛?骨瓣缺失骨瓣缺失 ICP波波动动?T2间质间质性水性水肿肿?脑脑膨出?膨出?脑脑萎萎缩缩?附属医院AFFILIATED HOSPITAL OF SOUTHWEST MEDICAL UNIVERSITY治治疗疗1.颅颅骨修骨修补补2.脑积脑积水的治水的治疗疗先先补补后分流?先分流后后分流?先分流后补补?同?同时时?V-P?ETV?附属医院AFFIL