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混合性细菌性脑膜炎:脑室-腹腔分流术和腰-腹腔分流术的一种并发症。

Mixed bacterial meningitis: a complication of ventriculo- and lumboperitoneal shunts.

作者信息

Brook I, Johnson N, Overturf G D, Wilkins J

出版信息

J Neurosurg. 1977 Dec;47(6):961-4. doi: 10.3171/jns.1977.47.6.0961.

DOI:10.3171/jns.1977.47.6.0961
PMID:925753
Abstract

Infectious complications of ventriculo- and lumboperitoneal shunts in two patients are presented. Cerebrospinal fluid infection due to aerobic and anaerobic enteric flora was characteristic of each case. Both infections occurred several months after shunt surgery and were associated with colonic perforation by the distal limb of the peritoneal catheter. These cases emphasize this unusual hazard of peritoneal shunts and demonstrate methods for diagnosis and effective therapy.

摘要

本文介绍了两名患者脑室-腹腔分流术和腰大池-腹腔分流术的感染并发症。两例均以需氧和厌氧肠道菌群引起的脑脊液感染为特征。两种感染均发生在分流手术后数月,且与腹膜导管远端肢体导致的结肠穿孔有关。这些病例强调了腹膜分流术这种不寻常的风险,并展示了诊断和有效治疗的方法。

相似文献

1
Mixed bacterial meningitis: a complication of ventriculo- and lumboperitoneal shunts.混合性细菌性脑膜炎:脑室-腹腔分流术和腰-腹腔分流术的一种并发症。
J Neurosurg. 1977 Dec;47(6):961-4. doi: 10.3171/jns.1977.47.6.0961.
2
Two unusual complications of ventriculo-peritoneal shunt in the same infant.
Surg Neurol. 1975 Jan;3(1):23-4.
3
Infection as a cause of peritoneal catheter dysfunction in ventriculo-peritoneal shunting in children.
Z Kinderchir. 1983 Dec;38 Suppl 2:84-6. doi: 10.1055/s-2008-1063084.
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Vaginal perforation as a complication of ventriculoperitoneal shunt. Case report.脑室腹腔分流术并发症之阴道穿孔。病例报告。
J Neurosurg. 1973 Jun;38(6):761-2. doi: 10.3171/jns.1973.38.6.0761.
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[Comparative study of complications observed in ventriculo-atrial and ventriculo-peritoneal derivations. Apropos of 106 cases].
Neurochirurgie. 1975 Mar-Apr;21(2):147-61.
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Rare complication in the surgical therapy of hydrocephalus with ventriculo-peritoneal shunt.脑室腹腔分流术治疗脑积水手术中的罕见并发症。
J Neurosurg Sci. 1974 Jul-Sep;18(3):206-9.
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Extrusion of peritoneal catheter through the mid-lumbar region. An unusual complication of ventriculo-peritoneal shunt.腹膜导管经腰中部区域穿出。脑室-腹腔分流术的一种罕见并发症。
Surg Neurol. 1983 Feb;19(2):120-1. doi: 10.1016/0090-3019(83)90407-x.
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Upward dislocation of peritoneal catheter into the ventricular cavity. A rare complication of the ventriculo-peritoneal shunt. Report of a case.腹膜导管向上移位至脑室腔。脑室-腹腔分流术的一种罕见并发症。病例报告。
Neuropadiatrie. 1975 Aug;6(3):313-6. doi: 10.1055/s-0028-1091671.
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Complications of infected ventriculoatrial shunt for hydrocephalus--a case report.
Nebr Med J. 1972 Feb;57(2):39-43.
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Delayed complication of Matson operation for hydrocephalus: case report.脑积水Matson手术的延迟并发症:病例报告
Neurosurgery. 1981 Sep;9(3):300-2.

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Microbiology and treatment of cerebrospinal fluid shunt infections in children.儿童脑积水分流感染的微生物学和治疗。
Curr Infect Dis Rep. 2014 Oct;16(10):427. doi: 10.1007/s11908-014-0427-8.
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Bacteroides: the good, the bad, and the nitty-gritty.拟杆菌:有益、有害与关键细节
Clin Microbiol Rev. 2007 Oct;20(4):593-621. doi: 10.1128/CMR.00008-07.
3
Shunt malfunction in relation to shunt infection.与分流感染相关的分流故障
Acta Neurochir (Wien). 1996;138(7):829-34. doi: 10.1007/BF01411261.
4
Mixed bacterial subdural empyema complicating subdural peritoneal shunt.混合性细菌性硬脑膜下积脓并发硬脑膜下-腹腔分流术
Acta Neurochir (Wien). 1986;81(1-2):77-8. doi: 10.1007/BF01456269.