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独立皮下脑脊液贮器在脑积水治疗中的作用

Role of a separate subcutaneous cerebro-spinal fluid reservoir in the management of hydrocephalus.

作者信息

Leggate J R, Baxter P, Minns R A, Steers A J, Brown J K, Shaw J F, Elton R A

机构信息

Department Paediatric Neurology, Royal Hospital for Sick Children, Edinburgh, United Kingdom.

出版信息

Br J Neurosurg. 1988;2(3):327-37. doi: 10.3109/02688698809001003.

DOI:10.3109/02688698809001003
PMID:3267316
Abstract

A retrospective survey has been carried out on 56 children with shunted hydrocephalus either with a primary idiopathic cause or as a result of a low spina bifida complex. In all 56 children, a separate reservoir has been inserted at some stage in the management of their hydrocephalus. There was no mortality. Morbidity was not increased from CSF infection or shunt blockage. There was less chance of the initial shunt blocking and there was a lesser incidence of visual and schooling handicap. Double cortical puncture did not result in an increased incidence of hemiplegia or epilepsy. We conclude that a separate reservoir greatly eases the management of these children and does not cause significant increased morbidity.

摘要

对56例患有分流性脑积水的儿童进行了一项回顾性调查,这些儿童要么病因是原发性特发性,要么是低位脊柱裂综合征的结果。在所有56例儿童中,在其脑积水治疗的某个阶段都插入了一个单独的储液器。无死亡病例。脑脊液感染或分流阻塞未导致发病率增加。初次分流阻塞的几率降低,视觉和学业障碍的发生率也较低。双侧皮质穿刺并未导致偏瘫或癫痫的发生率增加。我们得出结论,单独的储液器极大地简化了这些儿童的治疗,且不会导致发病率显著增加。

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Relationship between anterior fontanelle pressure measurements and clinical signs in infantile hydrocephalus.婴儿脑积水前囟门压力测量与临床体征之间的关系。
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Symptoms and signs of progressive hydrocephalus.
进行性脑积水的症状和体征。
Arch Dis Child. 1989 Jan;64(1):124-8. doi: 10.1136/adc.64.1.124.
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Cerebral blood flow velocity changes after ventricular taps and ventriculoperitoneal shunting.脑室穿刺引流和脑室腹腔分流术后脑血流速度的变化。
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Cerebrovascular resistive index assessed by duplex Doppler sonography and its relationship to intracranial pressure in infantile hydrocephalus.
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