CAJ | 학술논문

目的探讨儿童继发性脑积水的诊治经验.方法回顾性分析福建医科大学第一医院2007年1月至2010年12月收治的14岁以下(含14岁)68例儿童继发性脑积水的临床资料.结果 68例的继发病因中肿瘤43例,居首位；其次为感染10例,脑室出血8例,外伤7例.68例中有26例在原发病因治疗后无需脑室一腹腔分流术等进一步外科干预,包括肿瘤相关性脑积水17例,脑室出血后脑积水6例,感染性脑积水3例；另42例在原发病因治疗前或后行脑室一腹腔分流手术.结论儿童继发性脑积水因病因和小儿解剖生理的特异性有其相对独特的临床转归,应根据原发病因和年龄的不同,有针对性选择个体化治疗.
목적 탐토인동계발성뇌적수적진치경험.방법 회고성분석복건의과대학제일의원2007년1월지2010년12월수치적14세이하(함14세)68례인동계발성뇌적수적림상자료.결과 68례적계발병인중종류43례,거수위；기차위감염10례,뇌실출혈8례,외상7례.68례중유26례재원발병인치료후무수뇌실일복강분류술등진일보외과간예,포괄종류상관성뇌적수17례,뇌실출혈후뇌적수6례,감염성뇌적수3례；령42례재원발병인치료전혹후행뇌실일복강분류수술.결론 인동계발성뇌적수인병인화소인해부생리적특이성유기상대독특적림상전귀,응근거원발병인화년령적불동,유침대성선택개체화치료.
Objective To explore the diagnosis and treatment of acquired hydrocephalus in children.Methods 68 children in - patient from January 2007 to December 2010 with acquired hydrocephalus,age≤ 14 years,were analyzed retrospcctively.Results 43 cases with tumors,10 cases with infection,8 cases with intraventricular hemorrhage,7 cases with trauma were responsible for the 68 cases hydrocephalus,and tumor was the top of the list.Among the total cases,26 cases were without further surgical intervention such as ventriculoperitioneal when the primary disease was treatmented,of which 17 cases were hydrocephalus associate with tumors,6 cases hydrocephalus associated with intraventricular hemorrhage and 3 cases were infectious hydrocephalus respectively.The other 42 cases were under the treatment of ventriculoperitioneal shunt after or before the treatment of the primary disease.Conclusions Acquired hydrocephalus in children have relatively unique clinical outcomes because of the differences of primary disease and the specificity of pediatric anatomy and physiology,individual treatment should be performed according to differences of primary disease and age.