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[脑室-腹腔分流术、低血容量性休克与脑脊液性腹水]

[Ventriculo-peritoneal shunt, hypovolemic shock and cerebrospinal fluid ascites].

作者信息

Gairi Tahull J M, Costa Clara J M, García-Tornell Florensa S, Roig Quilis M, Tobeña Boada L, Campistol Plana J

出版信息

An Esp Pediatr. 1984 Aug;21(2):147-52.

PMID:6497190
Abstract

A case of communicating hydrocephalus with excessive amount of choroid plexus confirmed by computerized tomography scan in a five-year-old girl is reported. The child exhibited hypovolemic shock and cerebrospinal fluid (CSF) ascites after ventriculo-peritoneal shunting and relief after ventriculoatrial shunting. Some features suggest overproduction of CSF, with the so-called "third-space" fluid losses, due to sequestration of fluids in the body (peritoneum) that might explain shock. They review 22 cases of CSF ascites reported in the literature.

摘要

报告了一例经计算机断层扫描确诊的5岁女孩交通性脑积水伴脉络丛过多的病例。该患儿在脑室-腹腔分流术后出现低血容量性休克和脑脊液(CSF)腹水,在脑室-心房分流术后症状缓解。一些特征提示脑脊液过度产生,伴有所谓的“第三间隙”液体丢失,这是由于液体在体内(腹膜)潴留所致,这可能解释了休克的发生。他们回顾了文献中报道的22例脑脊液腹水病例。

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