Clinical analysis of risk factors of chronic hydrocephalus after anerusymal subarachnoid hemorrhage

【Objective】 To investigate the risk factors of chronic hydrocephalus after anerusymal subarachnoid hemorrhage(aSAH) and provide reference for prevention and treatment of chronic hydrocephalus after aSAH.【Methods】 The clinical information of 127 cases of aSAH patients maternal delivery from March 2008 to March 2010 was retrospectively analyzed,the risk factors of chronic hydrocephalus after aSAH were analyzed by the univariate and multivariate Logistic regression analysis month,the risk factors of chronic hydrocephalus after aSAH were screened.【Results】 20 cases of chronic hydrocephalus after aSAH occurred in 127 cases of aSAH patients,the incidence rate of chronic hydrocephalus after aSAH was 15.7%.The single-factor analysis showed that the age,Hunt-Hess grading,Fisher grading,hemorrhage broken into ventricles,acute hydrocephalus and multiple bleeding had certain degree of contact with chronic hydrocephalus after aSAH,the gender,aneurysm location,history of hypertension,smoking and drinking history were no significant correlation with chronic hydrocephalus after aSAH.Multivariate Logistic regression analysis showed that the Hunt-Hess grading,Fisher grading,age and multiple bleeding were risk factors of chronic hydrocephalus after aSAH.【Conclusion】 The Hunt-Hess grading,Fisher grading,age and multiple bleeding are the risk factors of chronic hydrocephalus after aSAH.Emphasis assessment of these factors,close observation of the aSAH patients with these risk factors,early diagnosis and timely treatment can reduce the incidence of chronic hydrocephalus after aSAH.