脑室-腹腔分流术后迟发性颅内出血8例临床分析  

Clinical analysis of 8 patients with delayed intracranial hemorrhage after ventricular-peritoneal shunt for hydrocephalus

作　　者：金浩[1] 张卫[1] 朱扬清[1] 邹煜[1] 周秋锋[1] 刘星[1] 钱伟[1] 左常阳[1] 

机构地区：[1]南通大学附属吴江医院神经外科,吴江215200

出　　处：《临床神经外科杂志》2015年第5期383-384,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨脑室-腹腔分流术后出现迟发性颅内出血的类型,以及可能的防治措施。方法对72例脑室-腹腔分流术患者进行回顾性分析,分析术后发生迟发性颅内出血的规律和原因。结果本组患者中发生术后迟发性颅内血肿8例,急性硬膜下血肿2例、慢性硬膜下血肿2例及脑内血肿4例,是脑室-腹腔分流术后主要的三类迟发性颅内出血。结论选择合适的分流管、调整合适阀门压力以及熟练掌握脑室穿刺技巧可以减少及避免出现脑室-腹腔分流术后迟发性颅内出血。Objective To explore the types of delayed intracranial hemorrhage after ventricular-peritoneal shunt for hydrocephalus,as well as effective prevention and control measures. Methods The clinical data of 72 patients suffered from delayed intracranial hemorrhage by ventricular-peritoneal shunt were analyzed retrospectively. The clinical features and factors were also analyzed. Results There were 8 cases of delayed intracranial hemorrhage after ventricular-peritoneal shunt in this group. The acute subdural hematoma,chronic subdural hematoma and intracerebral hemorrhage were the majory types of delayed intracranial emorrhage after ventricular-peritoneal shunt for hydrocephalus.Conclusion Choose the right shunt system,adjust the appropriate pressure and master the ventricle puncture techniques can reduce and avoid delayed intracranial hemorrhage.

关 键 词：脑积水 脑室-腹腔分流术 迟发性颅内出血 

分 类 号：R651.1[医药卫生—外科学]