Bada H S, Salmon J H, Pearson D H
Childs Brain. 1979;5(2):109-15. doi: 10.1159/000119809.
10 premature infants were found to have posthemorrhagic hydrocephalus (PHH) over a 4-year period. All weighed less than 2,500 g. The diagnosis was established by ventricular puncture and ventriculogram. Ventriculo-peritoneal (V-P) shunt placement was done in each infant soon after establishing the diagnosis, while the cerebrospinal fluid (CSF) was bloody. The mean age of infants at surgery was 21.4 days (range 16-33 days). Shunt obstruction occurred in 3 infants and infection in 1. No other complication was observed. All infants improved markedly in the immediate postoperative period, especially respirator-dependent infants. All survived; preliminary follow-up revealed that 3 were severely retarded and 2 mildly retarded; 5 infants were normal. Our preliminary experience with early V-P shunt procedure in the treatment of PHH has been favorable and follow-up appears encouraging.
在4年期间发现10例早产儿患有出血后脑积水（PHH）。所有患儿体重均低于2500克。诊断通过脑室穿刺和脑室造影确定。在确诊后不久，对每个婴儿进行了脑室-腹腔（V-P）分流术，此时脑脊液（CSF）呈血性。手术时婴儿的平均年龄为21.4天（范围16 - 33天）。3例婴儿发生分流阻塞，1例发生感染。未观察到其他并发症。所有婴儿在术后即刻均有明显改善，尤其是依赖呼吸机的婴儿。所有婴儿均存活；初步随访显示，3例严重智力发育迟缓，2例轻度智力发育迟缓；5例婴儿正常。我们早期V-P分流术治疗PHH的初步经验良好，随访结果令人鼓舞。
