产妇脑积水的管理需要用脑室心房分流术替换脑室腹膜分流术：病例报告。
Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report.
机构信息
Division of Maternal Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Kagawa National Children's Hospital, Zentsuji, Kagawa, Japan.
出版信息
Arch Gynecol Obstet. 2010 Sep;282(3):339-42. doi: 10.1007/s00404-010-1379-3. Epub 2010 Feb 16.
BACKGROUND
Women with ventriculoperitoneal (VP) shunt require special care during pregnancy, although they develop few complications related to hydrocephalus.
CASE
We recently encountered a pregnant patient with hydrocephalus, which was caused by VP shunt malfunction induced by increased intra-abdominal pressure associated with pregnancy. She was treated by replacement of the VP shunt with a ventriculoatrial (VA) shunt. After treatment, she achieved vaginal delivery.
CONCLUSION
We recommend VA shunt implantation as a treatment option for the management of VP shunt malfunction during pregnancy. We further propose that patients in whom the VP shunt is replaced with a VA shunt can achieve spontaneous vaginal delivery.
背景
尽管脑室腹膜（VP）分流术后的女性发生与脑积水相关并发症的几率较低，但在妊娠期间仍需要特殊护理。
病例报告
我们最近遇到了一位因 VP 分流术故障导致脑积水的妊娠患者，该故障是由妊娠相关的腹内压升高引起的。我们通过将 VP 分流术更换为脑室心房（VA）分流术对其进行了治疗。治疗后，患者实现了阴道分娩。
结论
我们建议将 VA 分流术植入作为 VP 分流术在妊娠期间发生故障时的一种治疗选择。我们进一步提出，VP 分流术更换为 VA 分流术的患者可以实现自然阴道分娩。
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