小儿脑室-腹腔分流术后并发症分析  

Complications in children after ventriculo-peritoneai shunt

作　　者：李炎稳[1] 周东[1] 詹升全[1] 李昭杰[1] 王鹏[1] 彭龙[1] 侯庆石[1] 

机构地区：[1]广东省人民医院神经外科,广州510080

出　　处：《中华神经医学杂志》2012年第12期1277-1279,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨小儿脑室一腹腔分流术（VPS）后并发症的原因及处理方法。方法回顾性分析广东省人民医院神经外科自2005年3月至2011年3月收治的22例VPS术后出现并发症患儿的临床资料，总结并分析发生并发症的原因及处理结果。结果22例发生并发症的病例中，分流管脑室端堵塞6例，腹腔端堵塞4例，感染6例，硬膜下积液4例，缝隙脑室综合征（SVS）2例。经过相应处理，有效率为95．5％，无死亡病例，1例感染患儿放弃治疗。结论小儿VPS术后并发症发生率高，针对并发症原因予以积极处理，可达到良好疗效。Objective To explore the treatments of complications in children afterventriculo-peritoneal shunt （VPS） and its complication appearance reasons. Methods The clinical data of 22 patients occurred complications after VPS, admitted to and performed VPS in our hospital from March 2005 to March 2011, were reviewed retrospectively. The reasons for the complications and treatment results were summarized. Results Obstruction of proximate tube appeared in 6 cases, obstruction of distal end in 4 cases, postoperative infection in 6 cases, subdural hydroma in 4 cases, and silt ventricle syndrome in 2 cases. The short-term response was 95.5% after proper treatment. None died for related complications and one child with postoperative infection gave up treatment. Conclusion High risk of complications is noted in children performed VPS; active management based on the reasons of complications can acquire satisfactory curative effects.

关 键 词：脑积水 脑室一腹腔分流术 并发症 小儿 

分 类 号：R726[医药卫生—儿科]