Bódi I, István B
Szent-Györgyi Albert Orvostudományi Egyetem, Szeged.
Orv Hetil. 1998 Jul 12;139(28):1681-4.
The ventriculo-atrial (VA) and ventriculo-peritoneal (VP) shunts implanted due to hypertensive hydrocephalus might get infected and be complicated by shunt nephritis. We reviewed the morphological changes in kidney retrospectively in the autopsy materials of our institute for the last 15 years after shunt implantation. Histological examination of the kidney was performed in 26 of these cases having 7 cases with glomerular morphological changes. Thus, the shunt nephritis is a relatively frequent complication of VA or VP shunts implanted due to hydrocephalus. Monitorization and follow-up of kidney function in case of any dysfunction of the shunt may suggest the possibility of shunt infection, and the removal of the infected shunt may protect the development of more severe, septic complications.
因高血压性脑积水而植入的脑室-心房（VA）分流管和脑室-腹腔（VP）分流管可能会发生感染，并并发分流性肾炎。我们回顾了本研究所过去15年中分流管植入术后尸检材料中肾脏的形态学变化。对其中26例病例的肾脏进行了组织学检查，其中7例有肾小球形态学改变。因此，分流性肾炎是因脑积水而植入VA或VP分流管相对常见的并发症。在分流管出现任何功能障碍时对肾功能进行监测和随访，可能提示分流管感染的可能性，而移除感染的分流管可能会防止更严重的败血症并发症的发生。
