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脑室-腹腔分流术治疗脑积水30例临床分析
引用本文:李越,欧海荣,文上康,杨朔.脑室-腹腔分流术治疗脑积水30例临床分析[J].河北医学,2010,16(12):1458-1460.
作者姓名:李越  欧海荣  文上康  杨朔
作者单位:广东省吴川市人民医院,广东,吴川,524500
摘    要:目的:探讨脑室-腹腔分流术(VPS)治疗脑积水的临床效果和并发症防治措施。方法:将我院脑积水患者30例给予脑室-腹腔分流术治疗,评估临床治疗效果。结果:本组患者痊愈12例,有效14例,无效4例,总有效率为90.00%。术后感染2例,其中颅内感染1例,腹腔感染1例;分流管脑室端堵塞2例,腹腔端堵塞1例;术后出现低颅压反应7例,发热3例,皮下积液1例,癫痫1例;本组无死亡病例。结论:脑室-腹腔分流术治疗脑积水的临床效果明确,并发症少,值得应用。

关 键 词:脑积水  脑室-腹腔分流术

Clinical Analysis of Ventriculoperitoneal Shunt in Treating 30 Cases Hydrocephalus
Institution:L I Yue , OU Hairong , WEN Shangkang , et al (The People's Hospital of Wuchuan, Guangdong Wuchuan 525400, China)
Abstract:Objective: To investigate the effect and measures of preventing the accomplication about ventriculoperitoneal shunt to treat cases with hydrocephalus. Method: The 30 cases with hydrocephalus received the ventriculoperitoneal shunt, and the effect of ventriculoperitoneal shunt were evaluated. Result: There were 12 cases with fully recovering from an illness, 14 cases with effectiveness and 4 cases with inefficiency. There were 1 case with intracranial infection after operation, 1 case with peritoneal cavity infection, 2 cases with shunt tube blockage in the brain and 1 case with shunt tube blockage ses with reacting of low brain blood pression, 3 cases with fever, 1 case with subcutaneous hydrops and 1cases with epilepsy. There was no case with death. Conclusion: The effect of ventriculoperitoneal shunt to treat cases with hydrocephalus is obvious and the accomplication is few,so they are worth being used.
Keywords:Ventriculoperitoneal shunt  Hydrocephalus
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