早产婴儿经皮下脑室导管贮液器治疗出血后脑积水
Management of posthaemorrhagic hydrocephalus with a subcutaneous ventricular catheter reservoir in premature infants.
作者信息
Leonhardt A, Steiner H H, Linderkamp O
机构信息
Department of Paediatrics, University of Heidelberg, Federal Republic of Germany.
出版信息
Arch Dis Child. 1989 Jan;64(1 Spec No):24-8. doi: 10.1136/adc.64.1_spec_no.24.
A subcutaneous ventricular catheter reservoir was inserted between the 16th and 28th (median 23rd) day of life in 13 premature infants (median birth weight 1220 g, range 780-2110) for the treatment of posthaemorrhagic hydrocephalus. Aspiration of cerebrospinal fluid (median 6 ml, range 1-15) one to four (median two) times a day for 6 to 90 (median 40) days controlled the hydrocephalus as judged by clinical and ultrasonographic criteria. There were no serious complications, except skin breakdown in one patient. Intracranial pressure measured in five patients through the reservoir showed the efficacy of the treatment, as well as the unreliability of clinical and ultrasonographic criteria in determining the amount of cerebrospinal fluid that should be aspirated daily.
13例早产儿（中位出生体重1220克，范围780 - 2110克）在出生后第16至28天（中位第23天）插入皮下脑室导管储液器，用于治疗出血后脑积水。根据临床和超声标准判断，每天一至四次（中位两次）抽取脑脊液（中位6毫升，范围1 - 15毫升），持续6至90天（中位40天），脑积水得到控制。除1例患者出现皮肤破损外，无严重并发症。通过储液器对5例患者进行颅内压测量，显示了治疗的有效性，以及临床和超声标准在确定每日应抽取脑脊液量方面的不可靠性。
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