脑室分流术在感染后脑积水患儿中的应用  

Application of ventricular shunt for children with post-infective hydrocephalus

作　　者：陈施梦 彭镜[1] 邓小鹿[1] 吴丽文[1] 熊娟[1] 段浩林 彭盼 尹飞[1] CHEN Shimeng;PENG Jing;DENG Xiaolu;WU Liwen;XIONG Juan;DUAN Haolin;PENG Pan;YIN Fei(Department of Pediatrics,Xiangya Hospital,Central South University/Research Center of Children Intellectual Disability of Hunan Province,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院儿科,湖南省儿童智力障碍研究中心

出　　处：《中南大学学报（医学版）》2019年第11期1230-1237,共8页Journal of Central South University ：Medical Science

基　　金：湖南省科技创新计划(2017SK50110)~~

摘　　要：目的:探讨脑室分流术在感染后脑积水患儿中的应用价值。方法:选取行脑室分流术的脑膜炎后脑积水患儿24例。对患儿的临床资料进行回顾性分析,包括性别、起病年龄、病程、临床表现、实验室检查结果、治疗经过、手术方式、并发症及后遗症等。结果:24例患儿,痊愈8例,遗留轻微后遗症11例,严重后遗症2例,植物状态1例,死亡2例(细菌性脑膜炎1例、结核性脑膜炎1例),后遗症以癫痫、智力损害、视听损害为主。结论:脑室分流术对脑膜炎后脑积水患儿有确切的临床疗效,有助于改善患者远期预后,是治疗感染后脑积水的重要方法。Objective:To investigate the effects of ventricular shunt placement in children with post-infective hydrocephalus.Methods:A total of 24 cases of post-infectious hydrocephalus,who received ventricular shunt,were enrolled.Age,gender,disease progression,clinical manifestation,laboratory data,treatment,prognosis,complication,and sequela for each patient were retrospectively reviewed.Results:Of the 24 cases,8 had a full recovery,11 had slight sequela,2 had severe sequela,1 was in vegetative state,and 2 died because of bacterial meningitis and tubercular meningitis.Epilepsy,mental impairment,visual and hearing damage were the main sequelae.Conclusion:Ventricular shunt is the preferred treatment in children with post-infective hydrocephalus,which shows positive clinical efficacy and can improve the long-term prognosis of such patients.

关 键 词：脑膜炎 脑积水 脑室腹腔分流术 脑室心房分流术 后遗症 儿童 

分 类 号：R72[医药卫生—儿科]