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目前,在神经外科临床工作中,虽然大部份脑积水病人使用脑室—腹腔(VP)分流术,但在一定程度上脑室—心房(VA)分流术也很有价值。采用VA分流术时,常常有一种倾向,即分流管易进入 对侧颈静脉或锁骨下静脉而不能到达右心房。作者曾遇见一例脑积水病人,按常规方法将分流管插入心房很困难,而采用简单的顺血流方向技术放置导管入右心房获得成功,现介绍如下。 男性患者,38岁,因创伤后脑积水而采用右侧
Currently, in neurosurgical practice, ventricular-peritoneal (VP) shunting is used in most patients with hydrocephalus, but ventricular-atrial (VA) shunting is also valuable to some extent. VA shunt, it is often a tendency that the shunt easily into the contralateral jugular vein or subclavian vein and can not reach the right atrium. The authors have encountered a case of hydrocephalus patients, according to the conventional method of shunt into the atrium is very difficult, and the use of a simple cis-flow direction of the catheter into the right atrium technology to achieve success, are described below. Male patient, age 38, on the right due to traumatic hydrocephalus