Jordan K T
Department of Emergency Medicine, Wilford Hall Medical Center, Texas.
Emerg Med Clin North Am. 1994 Aug;12(3):779-86.
The evaluation of hydrocephalic shunts is a common problem seen in emergency departments. The emergency medicine practitioner must be aware of the various types of apparatus, the functional considerations of the shunt, and the potential complications of obstruction. Shunt malfunction, either from obstruction or infection, can be life-threatening, and a reasonable approach for delineating the underlying problem and its severity is presented. Close involvement of the neurosurgeon is imperative because definitive care is almost always the purview of the consultant.
脑积水分流管的评估是急诊科常见的问题。急诊医学从业者必须了解各种类型的装置、分流管的功能考量以及梗阻的潜在并发症。分流管故障,无论是由于梗阻还是感染,都可能危及生命,本文介绍了一种合理的方法来确定潜在问题及其严重程度。神经外科医生的密切参与至关重要,因为最终的治疗几乎总是由会诊医生负责。