Ashkenazi E, Umansky F, Constantini S, Israel Z, Polliack G, Gomori M
Department of Neurosurgery, Hadassah University Hospital, Jerusalem, Israel.
Acta Neurochir (Wien). 1992;114(3-4):131-4. doi: 10.1007/BF01400601.
Sixty eight children were treated for ventriculoperitoneal shunt malfunction in our department during the years 1984-1989. Fifteen (22%) developed fever above 37.5 degrees C as a presenting sign of their shunt malfunction. Physical examination did not reveal any reason for the fever. Cerebrospinal fluid, urine and blood cultures were all negative. All the children were operated upon and the malfunction corrected. Fever subsided twenty four to thirty six hours after the operation in all the patients. Fever of unknown origin in children with shunted hydrocephalus might be the first sign of a developing shunt malfunction and a neurosurgical examination should be requested.
1984年至1989年间，我科对68名儿童进行了脑室腹腔分流术故障治疗。其中15名（22%）出现体温高于37.5摄氏度的发热症状，作为分流术故障的首发体征。体格检查未发现发热原因。脑脊液、尿液和血液培养均为阴性。所有患儿均接受手术，故障得以纠正。术后所有患者的发热在24至36小时内消退。分流性脑积水患儿不明原因的发热可能是分流术故障发展的首个迹象，应要求进行神经外科检查。
