Browd Samuel R, Ragel Brian T, Gottfried Oren N, Kestle John R W
Department of Neurosurgery, University of Utah, Primary Children's Medical Center, Salt Lake City, Utah 84113, USA.
Pediatr Neurol. 2006 Feb;34(2):83-92. doi: 10.1016/j.pediatrneurol.2005.05.020.
Ventricular shunts are commonly employed to treat children with hydrocephalus. Complications from shunts are common and can present with a variety of signs and symptoms. This pair of reviews discusses the common findings in patients with shunt malfunction, including physical examination and imaging findings. Part I of the series discusses obstruction and mechanical failure of shunts; Part II discusses overdrainage, loculation, and abdominal complications of shunts. An understanding of the presentation and etiology of shunt dysfunction is critical for neurologists and pediatricians who often are the first to evaluate and triage these children.
脑室分流术常用于治疗脑积水患儿。分流术的并发症很常见，可表现为多种体征和症状。这两篇综述讨论了分流器故障患者的常见表现，包括体格检查和影像学检查结果。该系列的第一部分讨论了分流器的梗阻和机械故障；第二部分讨论了分流器的过度引流、分隔和腹部并发症。了解分流功能障碍的表现和病因对于经常最先评估和分类这些患儿的神经科医生和儿科医生来说至关重要。
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