Bragg C L, Edwards-Beckett J, Eckle N, Principe K, Terry D
Children's Hospital, Columbus, Ohio 43205.
J Neurosci Nurs. 1994 Oct;26(5):265-9. doi: 10.1097/01376517-199410000-00003.
Children treated for hydrocephalus frequently experience chronic constipation. A retrospective chart review was conducted to determine if there is a population of children with ventriculoperitoneal (VP) shunt dysfunction in whom constipation might be a factor in the shunt dysfunction. Of 51 cases reviewed, 19 had documented constipation, such as no bowel movement for 2 or more days, small hard ball-like stools or fullness of the colon noted on physical examination or abdominal radiographs. In 6 cases, a bowel cleansing was performed and signs and symptoms of shunt dysfunction resolved without shunt revision. This review suggests that constipation may affect the fluid or pressure dynamics of the VP shunt and contribute to shunt dysfunction.
接受脑积水治疗的儿童经常会出现慢性便秘。进行了一项回顾性病历审查，以确定是否存在这样一群患有脑室腹腔（VP）分流功能障碍的儿童，其中便秘可能是分流功能障碍的一个因素。在审查的51例病例中，19例有记录的便秘情况，如连续2天或更长时间无排便、小硬球状粪便，或体格检查或腹部X光片显示结肠胀满。在6例病例中，进行了肠道清洁，分流功能障碍的体征和症状在未进行分流修复的情况下得到缓解。这项审查表明，便秘可能会影响VP分流的液体或压力动态，并导致分流功能障碍。
