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目的探讨侧脑室-腹腔分流术治疗儿童脑积水的并发症及应对措施。方法回顾性分析43例儿童脑积水的临床资料,总结分流术并发症的预防和治疗。结果 35例患儿无并发症,8例患者共出现并发症10次,2例近端阻塞,1例远端阻塞。2例术后感染,其中均为表皮葡萄球菌2例;脑室裂隙综合征1例;伤口脑脊液漏2例;泵外露1例;皮下积液1例。结论侧脑室腹腔分流术治疗儿童脑积水,应在术前充分准备,选择最佳的手术路径及合适的分流管,制定最佳的治疗方案,是避免术后并发症的关键。
Objective To investigate the complications and countermeasures of treatment of children hydrocephalus with lateral ventricle shunt. Methods The clinical data of 43 children with hydrocephalus were retrospectively analyzed, and the prevention and treatment of complications of shunt were summarized. Results 35 cases of children without complications, 8 patients were complication of 10 times, 2 cases of proximal obstruction, 1 case of distal obstruction. 2 cases of postoperative infection, including 2 cases of Staphylococcus epidermidis; 1 case of ventricular fissure syndrome; 2 cases of cerebrospinal fluid leakage; 1 case of pump exposure; 1 case of subcutaneous effusion. Conclusion Lateral ventricle peritoneal shunt for children with hydrocephalus should be fully prepared before surgery, select the best surgical path and appropriate shunt to develop the best treatment is to avoid the key to postoperative complications.