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脑积水脑室-腹腔分流术后常见并发症及处理

Analysis of ventricle-abdominis bypass of hydrencephaly and its complication prevention

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【作者】 蔡为人伏林山万正强

【Author】 CAI Wei-ren,FU Lin-shan,WAN Zheng-qiang.The First People’s Hospital of Yancheng,Jiangsu,224001,China

【机构】 江苏省盐城市第一人民医院脑外科

【摘要】 目的分析脑积水脑室-腹腔分流术后常见并发症及防治对策。方法对1997年12月至2007年12月经CT/MR检查证实并作脑室-腹腔分流术的脑积水住院病例进行回顾性分析。结果43例脑室-腹腔分流术后病例有20例出现了并发症占46.5%,其中分流管堵塞12例,合并切口感染3例,颅内感染2例,腹腔感染1例,合并硬膜下血肿2例,其中死亡1例。结论脑积水V-P分流术后分流管堵塞是与术式相关的主要术后并发症。

【Abstract】 Objective To analyze the common complication of ventricle-abdominis bypass in hydrocephalus and its preventible strategy.Methods Retrospective study was done to 43 patients with ventricle-abdominis bypass in hydrocephalus from December 1997 to December 2007,based on the verification of CT/MRI.Results In 43 cases of postop hydrocephalus,twenty patients had complications and its proportion was 46.5%.Of complication cases,there were 12 of shunt blockage,3 of cut infection,2 of intracal infection,1 of abdominis infection,2 of meninx fibrosa dropsy,and one case of those patients was dead.Conclusions Shunt blockage is the main complication of ventricle-abdominis bypass in hydrocephalus.

【关键词】 脑积水V-P分流并发症
【Key words】 HydrocephalusVentricle-abdominis bypassComplication
  • 【文献出处】 中国现代药物应用 ,Chinese Journal of Modern Drug Application , 编辑部邮箱 ,2008年24期
  • 【分类号】R651.1
  • 【被引频次】2
  • 【下载频次】100
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