Segal' B
Vopr Neirokhir. 1975 May-Jun(3):31-4.
Some psychoneurological problems related to the operative treatment of hydrocephalus at an early age are discussed. Under a continual observation for a period of 2 years were kept 28 children-hydrocephals who had undergone ventriculoatriostomy. Once a month they were subjected to a psychoneurological examination according to a program described in the article. During each investigation the dynamics of the psychophysiological development of the children was analyzed and the degree of their mental and physical progress determined. On expiration of 22 months 32 per cent of the children were found to be fully in keeping with the average development standards, this number remaining stable during the last 5-6 months. The author attempts to justify the need for a continuous psycho-neurological control over such surgical patients, as well as the necessity to follow a definitely set system of screening such patients for surgery, well-based on pertinent psycho-neurological criteria.
本文讨论了一些与幼儿脑积水手术治疗相关的精神神经问题。对28例接受脑室心房分流术的脑积水患儿进行了为期2年的持续观察。每月根据本文所述方案对他们进行一次精神神经检查。每次检查时,分析患儿心理生理发育的动态变化,并确定其智力和身体发育的程度。在22个月结束时,发现32%的患儿完全符合平均发育标准,在最后5至6个月期间这一比例保持稳定。作者试图说明对这类手术患者进行持续精神神经监测的必要性,以及根据相关精神神经标准,遵循明确设定的此类患者手术筛查系统的必要性。