新生儿Ommaya囊置入术的临床特点及预后分析  

Analysis of clinical features and prognosis in neonates with Ommaya reservoir placement

作　　者：池秀芳[1] 张永[1] Chi Xiufang;Zhang Yong(Department of Neonatology,Guangdong Women and Children Hospital,Guangzhou 511442,China)

机构地区：[1]广东省妇幼保健院新生儿科,广州511442

出　　处：《国际医药卫生导报》2022年第6期825-828,共4页International Medicine and Health Guidance News

摘　　要：目的分析影响Ommaya囊置入术后并发症及预后的可能原因,研究其预防干预措施。方法选取2020年8月至2021年7月在广东省妇幼保健院新生儿重症监护室(NICU)住院,确诊颅内出血或颅内出血后脑积水行Ommaya囊置入术的患儿作为研究对象,回顾分析其一般资料、临床症状、术后并发症及结局。结果有8例患儿符合纳入标准,其中4例患儿为男性、4例为女性,1例足月儿、7例早产儿。其中6例患儿均取得良好的手术治疗效果,2例患儿术后治疗效果差。6例获得良好手术效果的患儿均未出现以下并发症:术后出血、穿刺后抽液困难或堵管、Ommaya囊移位、漏液多,术后颅内感染发生2例。结论颅内出血或颅内出血后脑积水常见于早产儿,严重程度多在Ⅲ级以上。Ommaya囊置入术是治疗脑积水的一种有效手段,常见并发症为颅内感染。对于颅内感染未控制时,不建议行Ommaya囊置入术。Objective To analyze the possible factors affecting complications and prognosis after Ommaya reservoir placement,and to study the preventive measures.Methods Children with intracranial hemorrhage or hydrocephalus after intracranial hemorrhage who were admitted to neonatal intensive care unit(NICU)of Guangdong Women and Children Hospital from August 2020 to July 2021 and underwent Ommaya reservoir placement were selected.The general information,clinical manifestations,postoperative complications,and prognosis were retrospectively analyzed.Results Eight cases met the inclusion criteria,including 4 males and 4 females,and 1 case was full term and 7 cases were premature.Six cases had good surgical results,who had no postoperative bleeding,difficulty in puncture,blocking the tube,displacement of Ommaya reservoir,or liquid leakage,but among whom 2 cases had postoperative intracranial infection;2 cases had poor surgical results.Conclusions Intracranial hemorrhage or hydrocephalus after intracranial hemorrhage is common in premature infants,and is more than gradeⅢ.Ommaya reservoir placement is an extremely effective method for hydrocephalus,and its most common postoperative complication is intracranial infection.Ommaya reservoir placement is not recommended when combined with intracranial infection.

关 键 词：早产儿 颅内出血 脑积水 Ommaya囊置入术 并发症 

分 类 号：R722.1[医药卫生—儿科]