Fleischer A C, Bundy A L, Hutchison A A, Cotton R B, Thieme G A, Meacham W F, James A E
J Ultrasound Med. 1983 Nov;2(11):499-504. doi: 10.7863/jum.1983.2.11.499.
Serial real-time cranial sonography was performed on 11 preterm neonates who had demonstrated progressive posthemorrhagic ventricular dilatation and were subjected to repeated ventricular aspirations. Changes in ventricular size were correlated with gestational age, birth weight, and extent and location of the intracranial hemorrhage, as well as the timing, frequency, and location of the ventricular aspirations and the average amount of cerebrospinal fluid removed. The sizes of both lateral ventricles of each neonate were measured and the occurrence of sequelae related to repeated ventricular aspiration was examined. Eleven ventricles diminished in size, eight increased, and there was no change in three. Two neonates had bleeding near the aspiration sites. It is concluded that repeated aspiration can be associated with a diminution in ventricular size in some neonates. It is recommended that alternative methods of treatment, such as serial lumbar puncture or external ventriculostomy, be attempted prior to initiating repeated ventricular aspirations.
对11例出现进行性出血后脑室扩张并接受反复脑室穿刺抽液的早产儿进行了系列实时头颅超声检查。脑室大小的变化与胎龄、出生体重、颅内出血的范围和部位，以及脑室穿刺抽液的时间、频率和部位，以及脑脊液的平均抽出量相关。测量了每个新生儿双侧脑室的大小，并检查了与反复脑室穿刺抽液相关的后遗症的发生情况。11个脑室大小缩小，8个增大，3个无变化。2例新生儿在穿刺部位附近有出血。得出的结论是，反复穿刺抽液在一些新生儿中可能与脑室大小缩小有关。建议在开始反复脑室穿刺抽液之前尝试其他治疗方法，如系列腰椎穿刺或外引流术。
