Murtagh F R, Quencer R M, Poole C A
AJR Am J Roentgenol. 1980 Oct;135(4):763-6. doi: 10.2214/ajr.135.4.763.
There were 112 separate hospital evaluations in 84 patients for suspected shunt malfunction: 96 evaluations were of ventriculoperitoneal shunts, 13 were of ventriculoatrial shunts, and three were of both types of shunts. In 45 (47%) of 96 ventriculoperitoneal shunts, complications eventually led to surgical revision; 20 (44%) of these were problems of the peritoneal end and therefore peculiar to this type of shunt. Peritoneal end problems included tubing disconnection, bowel obstruction, perforation, and abdominal cerebrospinal fluid pseudocyst. Of the 13 ventriculoatrial shunts, 10 (79%) required revision; eight (61%) of these were due to problems of the atrial end. These problems included relative shortening of the tubing due to patient growth, superior vena cava thrombosis, and disconnection. Ventriculoperitoneal shunts were used most frequently and had a lower complication rate (47%). Ventriculoatrial shunts were used less often and had a higher complication rate (79%) and more serious problems.
对84例疑似分流器故障患者进行了112次独立的医院评估：96次评估针对脑室腹腔分流器，13次针对脑室心房分流器，3次针对两种类型的分流器。在96例脑室腹腔分流器中，45例（47%）的并发症最终导致手术修正；其中20例（44%）是腹膜端问题，因此是这种类型分流器特有的。腹膜端问题包括管道断开、肠梗阻、穿孔和腹部脑脊液假性囊肿。在13例脑室心房分流器中，10例（79%）需要修正；其中8例（61%）是由于心房端问题。这些问题包括因患者生长导致管道相对缩短、上腔静脉血栓形成和断开。脑室腹腔分流器使用最频繁，并发症发生率较低（47%）。脑室心房分流器使用较少，并发症发生率较高（79%）且问题更严重。
