CAJ | 학술논문

目的：对急性进展的正常颅压脑积水(NPH)患者的诊断及治疗进行初步研究。方法：回顾性分析2010年9月至2013年6月间北京朝阳医院神经外科收治的8例表现为急性进展NPH患者资料。其中男5例,女3例,年龄57~74岁,平均65.3岁。所有患者术前均诊断为脑积水,6例被诊断为NPH,2例治疗过程中诊断为NPH。患者入院前均行脑室腹腔分流术,其中6例放置可调压抗虹吸分流管,2例放置可调压分流管。分析诊断其要点及治疗经过。结果：8例急性进展NPH患者,行全麻下分流管调整术治疗,均成功救治,术后随访3~30月,患者症状均获得改善,7例患者恢复正常,1例患者出院时候偶有尿失禁,随访3月后恢复正常。结论：急性进展的NPH患者,分流管调整到最低压力症状缓解不理想,行脑脊液分流装置调整术安全有效,并发症少。
목적：대급성진전적정상로압뇌적수(NPH)환자적진단급치료진행초보연구。방법：회고성분석2010년9월지2013년6월간북경조양의원신경외과수치적8례표현위급성진전NPH환자자료。기중남5례,녀3례,년령57~74세,평균65.3세。소유환자술전균진단위뇌적수,6례피진단위NPH,2례치료과정중진단위NPH。환자입원전균행뇌실복강분류술,기중6례방치가조압항홍흡분류관,2례방치가조압분류관。분석진단기요점급치료경과。결과：8례급성진전NPH환자,행전마하분류관조정술치료,균성공구치,술후수방3~30월,환자증상균획득개선,7례환자회복정상,1례환자출원시후우유뇨실금,수방3월후회복정상。결론：급성진전적NPH환자,분류관조정도최저압력증상완해불이상,행뇌척액분류장치조정술안전유효,병발증소。
Objective: Preliminary studies on acute normal pressure hydrocephalus (NPH) in the diagnosis and treatment of patients. Methods:Retrospectively analysis patients data Beijing Chaoyang Hospital between September 2010 to June 2013. eight cases were treated as acute progress NPH , Including 5 males and 3 females, aged 57 to 74 years, mean 65.3 years. All patients were diagnosed with hydrocephalus, six cases were diagnosed with NPH pre-admission, 2 Cases were diagnosed during admission. Patients before admission were undergone ventriculo-peritoneal shunt, of whom six were placed anti-siphon shunt systems regulatorly, two cases were placed normal adjustable shunt systems. Analysis of diagnosis and treatment were performed Results:8 cases of acute progressive NPH patients were performed shunt adjustment. patients were followed up from 3 to 30 months, symptoms were all improved, seven patients returned to normal, one patient was discharged with occasional incontinence and return to normal after follow-up 3 months. Conclusions:acute NPH progression patients who were poor response to pressure revision even to the lowest level , cerebrospinal fluid shunt adjustment surgery means safe and effective .