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一家新建儿童医院中脑室心房分流术和脑室腹腔分流术的并发症

Complications of ventriculoatrial and ventriculoperitoneal shunts in a new children's hospital.

作者信息

Ivan L P, Choo S H, Ventureyra E C

出版信息

Can J Surg. 1980 Nov;23(6):566-8.

PMID:7448660
Abstract

At a new children's hospital between 1974 and 1978, 125 patients underwent 243 shunt procedures performed by six neurosurgeons. In spite of diverse techniques used, the overall results were acceptable. Seventy-seven patients required 118 shunt revisions. The mortality related to the shunt procedures of 7.2% and the infection rate of 14.4% were comparable to those of other series reported during the same period. Ventriculoatrial shunts, although fewer in number, required fewer revisions (20 revisions of 18 shunts) than ventriculoperitoneal shunts (97 revisions of 58 shunts) for which the variation in technique was larger. A sharp decline in the complication rate was noted during the last year of the study.

摘要

1974年至1978年间,在一家新建的儿童医院里,125名患者接受了由6名神经外科医生实施的243次分流手术。尽管采用了不同的技术,但总体结果尚可接受。77名患者需要进行118次分流术修订。分流手术的死亡率为7.2%,感染率为14.4%,与同期报道的其他系列结果相当。虽然脑室心房分流术数量较少,但与脑室腹腔分流术(58次分流术中有97次修订)相比,所需的修订次数更少(18次分流术中有20次修订),而脑室腹腔分流术的技术差异更大。在研究的最后一年,并发症发生率急剧下降。

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