Marro P J, Dransfield D A, Mott S H, Allan W C
Department of Pediatrics, Maine Medical Center, Portland.
Am J Dis Child. 1991 Oct;145(10):1141-6. doi: 10.1001/archpedi.1991.02160100073026.
To report a 9-year experience with the treatment of posthemorrhagic hydrocephalus (PHH) with the use of an easily inserted external ventricular drain.
A case series with a retrospective review of hospital records and cranial ultrasound results, from 1981 through 1989, in all infants with PHH.
A previously defined method of identification and bedside management of PHH was applied. If infants reached 2 kg of body weight and PHH recurred, a ventriculoperitoneal shunt was inserted.
A total of 70 procedures were performed in 24 patients, and all were associated with a decrease in head circumference and ventricular size on ultrasound scan. One infection occurred, and only 12 infants required a ventriculoperitoneal shunt.
This technique compared favorably with other methods of intervention to avoid early placement of a ventriculoperitoneal shunt in preterm infants and offered the advantage of consistently decreasing ventricular size. A multicenter-controlled trial will be needed to compare the safety and efficacy of therapies for PHH.
报告使用易于插入的外部脑室引流管治疗出血后脑积水（PHH）9年的经验。
对1981年至1989年期间所有患有PHH的婴儿的医院记录和头颅超声结果进行回顾性病例系列研究。
采用先前定义的PHH识别和床边管理方法。如果婴儿体重达到2千克且PHH复发，则插入脑室腹腔分流管。
24例患者共进行了70次操作，所有操作均与超声扫描显示的头围和脑室大小减小有关。发生了1例感染，只有12例婴儿需要插入脑室腹腔分流管。
与其他干预方法相比，该技术在避免早产儿早期放置脑室腹腔分流管方面具有优势，并且具有持续减小脑室大小的优点。需要进行多中心对照试验来比较PHH治疗方法的安全性和有效性。
