儿童继发性脑积水的病因与治疗  

Strategy for therapy of acquired hydrocephalus in children

作　　者：刘智强[1] 林志雄[1] 梅文忠[1] 甄世明[1] 何理盛[1] 康德智[1] 吴喜跃[1] 江常震[1] 

机构地区：[1]福建医科大学附属第一医院神经外科,福州350005

出　　处：《中华神经外科杂志》2012年第10期1028-1030,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨儿童继发性脑积水的诊治经验。方法回顾性分析福建医科大学第一医院2007年1月至2010年12月收治的14岁以下（含14岁）68例儿童继发性脑积水的临床资料。结果68例的继发病因中肿瘤43例，居首位；其次为感染10例，脑室出血8例，外伤7例。68例中有26例在原发病因治疗后无需脑室一腹腔分流术等进一步外科干预，包括肿瘤相关性脑积水17例，脑室出血后脑积水6例，感染性脑积水3例；另42例在原发病因治疗前或后行脑室一腹腔分流手术。结论儿童继发性脑积水因病因和d,JL解剖生理的特异性有其相对独特的临床转归，应根据原发病因和年龄的不同，有针对性选择个体化治疗。Objective To explore the diagnosis and treatment of acquired hydrocephalus in children. Methods 68 children in - patient from January 2007 to December 2010 with acquired hydrocephalus, age≤14 years, were analyzed retrospectively. Results 43 cases with tumors, 10 eases with infection, 8 cases with intraventricular hemorrhage, 7 cases with trauma were responsible for the 68 cases hydrocephalus, and tumor was the top of the list. Among the total cases, 26 cases were without further surgical intervention such as ventriculoperitioneal when the primary disease was treatmented, of which 17 cases were hydrocephalus associate with tumors, 6 cases hydrocephalus associated with intraventricular hemorrhage and 3 cases were infectious hydrocephalus respectively . The other 42 cases were under the treatment of ventricttloperitioneal shunt after or before the treatment of the primary disease. Conclusions Acquired hydrocephalus in children have relatively unique clinical outcomes because of the differences of primary disease and the specificity of pediatric anatomy and physiology, individual treatment should be performed according to differences of primary disease and age.

关 键 词：儿童 继发性脑积水 治疗 

分 类 号：R726.5[医药卫生—儿科]