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本文报告１４５例颅内占位病变所致颅内高压引起的视乳头水肿，年龄６月～７２岁，病程３天～１２年。其中，颅内血肿４９例（脑出血１８例，亚急性及慢性外伤性颅内血肿３１例），颅内肿瘤９６例（幕上肿瘤４１例，幕下肿瘤４７例，松果体区肿瘤８例）。视乳头改变：视乳头水肿１０８例，视神经萎缩３４例，Ｆｏｓｔｅｒ－ｋｅｎｎｅｄｙ综合征３例。１４５例中，１３７例有随诊资料，手术后５～１４天视乳头水肿有改善者２５例，１４天后明显改善者７８例。手术后视乳头水肿完全消退的时间：１月内３４例，１～２个月６５例，４例７０～７５天完全消退。本文对视乳头水肿的发病率、发病机理、临床特点及其发展与消退等问题分别加以讨论。
This article reports 145 cases of intracranial hypertension caused by intracranial lesions caused by papilledema, age from 6 months to 72 years, duration of 3 days to 12 years. Among them, 49 cases of intracranial hematoma (18 cases of cerebral hemorrhage, 31 cases of subacute and chronic traumatic intracranial hematoma), 96 cases of intracranial tumors (supratentorial tumor in 41 cases, supratentorial tumor in 47 cases, pineal region tumor in 8 cases ). Optic changes: papilledema in 108 cases, optic atrophy in 34 cases, Foster-kennedy syndrome in 3 cases. Among the 145 cases, 137 cases had follow-up data. Twenty-five cases had improvement of papilledema on day 5 to 14 after surgery and 78 cases improved after 14 days. Postoperative papilledema completely subsided time: 34 cases in January, 1 to 2 months in 65 cases, 4 cases of 70 to 75 days completely resolved. This article discusses the incidence of papilledema, pathogenesis, clinical features and its development and regression and other issues were discussed.