Goodman G M, Gourley G R
Department of Pediatrics, University of Wisconsin School of Medicine, Madison.
J Pediatr Gastroenterol Nutr. 1988 Sep-Oct;7(5):780-2. doi: 10.1097/00005176-198809000-00028.
Ventriculoperitoneal shunts are currently a standard therapy for obstructive hydrocephalus. These shunts are associated with a variety of abdominal complications, one of which is the development of ascites. We report an 11-year-old girl with a ventriculoperitoneal shunt in whom a low-grade peritoneal infection presented with ascites. This case demonstrates the importance of diagnostic paracenteses, appropriate antibiotic therapy and the potential need to establish an alternative route for cerebrospinal fluid diversion in patients with ventriculoperitoneal shunts and ascites.
脑室腹腔分流术目前是梗阻性脑积水的标准治疗方法。这些分流术与多种腹部并发症相关，其中之一是腹水的形成。我们报告了一名11岁患有脑室腹腔分流术的女孩，其因低度腹膜感染出现腹水。该病例表明了诊断性腹腔穿刺术、适当的抗生素治疗以及在脑室腹腔分流术和腹水患者中建立脑脊液分流替代途径的潜在必要性。
