Docherty J G, Daly J C, Carachi R
University Department of Paediatric Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, U.K.
Eur J Pediatr Surg. 1991 Dec;1 Suppl 1:11-3. doi: 10.1055/s-2008-1042528.
Fifty-two patients with an occipital encephalocele were managed at our institution between 1971-1990 inclusive. The case notes of fifty-one patients were available for review. Thirty-four of the patients presented in the first decade of the study. Fifty-seven per cent (29) developed hydrocephalus and 18 of these required shunting. The overall one year mortality was 23% (12) but only one patient died within the last decade. Of 23 patients followed up by postal questionnaire to general practitioners; 14 had no obvious deficit and 9 had a combination of deficits. Only one death occurred after one year of life in a child with a very severe handicap.
1971年至1990年（含）期间，我院共收治了52例枕部脑膨出患者。其中51例患者的病历可供查阅。34例患者在研究的第一个十年中就诊。57%（29例）出现脑积水，其中18例需要进行分流手术。总体一年死亡率为23%（12例），但在过去十年中仅有1例患者死亡。通过向全科医生邮寄调查问卷对23例患者进行随访，其中14例无明显缺陷，9例存在多种缺陷。一名严重残疾儿童在一岁后死亡，是随访中唯一的死亡病例。
