Fibla F, Juliá V, Cortón D, Palomeque A, Morales L
An Esp Pediatr. 1983 Apr;18(4):273-8.
Fifty four patients with hydrocephalus treated with surgical derivations were evaluated in retrospect. The total number of derivations made to this group was 76. Initially 30 valves were from VA type and the remaining 24 from VP type, but reintervention was needed in 15 and 11 respectively. The etiology of hydrocephalus was congenital in 61%; infectious, in 24%; tumoral, in 8%, and consequence of a traumatism, in 7%. Twenty-three patients (42%) followed a good evolution without any complication as much immediately as later. The other 31 patients (57%) have had some kind of postoperative complication. In 26 patients (48%) the valve had to be removed. The main causes were infection in 10 cases (18%) and obstruction in 14 cases (25%). Usually the staphylococcus was the infectious agent. Ten of the patients died (18%), eight of them by a complication directly related to the shunt.
对54例接受手术分流治疗的脑积水患者进行回顾性评估。该组患者共进行了76次分流手术。最初，30个阀门为VA型，其余24个为VP型，但分别有15个和11个需要再次干预。脑积水的病因中，先天性占61%；感染性占24%；肿瘤性占8%；创伤性占7%。23例患者（42%）病情进展良好，术后即刻及后期均无任何并发症。其他31例患者（57%）出现了某种术后并发症。26例患者（48%）的阀门不得不被移除。主要原因是感染10例（18%）和阻塞14例（25%）。通常感染源为葡萄球菌。10例患者死亡（18%），其中8例死于与分流直接相关的并发症。
