脑出血后脑积水机制及治疗的研究进展
Research Progress on the Mechanism and Treatment of Post-Hemorrhagic Hydrocephalus
DOI: 10.12677/acm.2025.1561797, PDF,   
作者: 白伟杰：山东第一医科大学临床医学院，山东 济南；李 猛*：山东第一医科大学第一附属医院(山东省千佛山医院)神经外科，山东 济南
关键词: 脑出血后脑积水；神经炎症；脑脊液代谢；治疗；Post-Hemorrhagic Hydrocephalus； Neuroinflammation； Cerebrospinal Fluid Metabolism； Therapy
摘要: 出血后脑积水(Post-Hemorrhagic Hydrocephalus, PHH)是脑出血后一种严重并发症，会增加脑出血的不良预后。目前主流的治疗方式是分流手术，但术后并发症与二次手术率较高，寻找另一种切实可行的治疗策略是我们迫切需要的。近些年来随着对脑出血后脑脊液动力学认识的加深，衍生出了一系列的治疗策略。进一步深入理解脑出血后的脑脊液(Cerebrospinal Fluid, CSF)代谢改变与PHH的形成机制对寻找PHH非手术治疗方面具有重要的指导意义。
Abstract: Post-hemorrhagic hydrocephalus (PHH) is a serious complication of intracerebral hemorrhage and increases the poor prognosis of intracerebral hemorrhage. At present, the mainstream treatment method is shunt surgery, but the rate of postoperative complications and secondary surgery is high, and it is urgent for us to find another practical treatment strategy. In recent years, with the deepening of the understanding of CSF dynamics after cerebral hemorrhage, a series of treatments have been derived. Further understanding of cerebrospinal fluid (CSF) metabolism changes and PHH formation mechanism after intracerebral hemorrhage is of great guiding significance for the search for non-surgical treatment of PHH.
文章引用：白伟杰, 李猛. 脑出血后脑积水机制及治疗的研究进展[J]. 临床医学进展, 2025, 15(6): 848-856. https://doi.org/10.12677/acm.2025.1561797

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