巴德(Bird)植入式输液港在婴幼儿急性梗阻性脑积水治疗中的应用

1.湖南省儿童医院神经外科,(湖南省长沙市,410007); 2.中南大学湘雅医院神经外科,(湖南省长沙市,410007 )

巴德(Bird)输液港; 脑积水; 治疗; 婴儿

Application of Bird pump in the treatment of acute obstructive hydrocephalus in infants.
Wu Shuihua1, Shen Chenfu2, Chen Zhaohui1,Fan Shuangshi1, Zou Xin1.

1.Department of Neurosurgrey, Hunan Children's Hospital, Changsha 410007,China; 2.Department of Neurosurgrey, Xiangya Hospital Central South University, Changsha 410006,China. Email: 292454021@qq.com

Bird Pump; Hydrocephalus; Therapy; Infant

DOI: 10.3969/j.issn.1671— 6353.2017.06.015

备注

目的 探讨巴德(Bird)植入式输液港在婴幼儿急性梗阻性脑积水中的应用。 方法 回顾性收集本院2014至2016年行巴德(Bird)植入式输液港侧脑室置入外引流术的32例急性梗阻性脑积水患儿的病历资料,对患儿的病情转归及术后并发症进行分析。 结果 32例患儿中颅内出血并脑积水15例,颅内感染并脑积水10例,颅内肿瘤并脑积水7例。巴德(Bird)植入式输液港侧脑室置入外引流术后转行脑室腹腔分流术6例,取出巴德输液港22例,继续留置输液港治疗1例,放弃治疗3例,术后无继发颅内感染病例。 结论 巴德(Bird)植入式输液港置入术治疗婴幼儿急性梗阻性脑积水效果良好,手术简便,创伤小,并发症少,值得临床推广应用。
Objective To explore the therapeutic efficacy of Bird pump reservoir for acute obstructive hydrocephalus in infants. Methods Between 2014 and 2016, a total of 32 hospitalized patients were retrospectively reviewed with regards to therapeutic efficacies and postoperative complications. Results Among them, the concurrent conditions included acute obstructive hydrocephalus(n=12), intracranial hemorrhage(n=15), intracranial infection(n=10)and intracranial tumors(n=7). After operation, reservoir was removed in 22 cases due to ameliorated clinical symptoms. Six cases requiring long-term cerebrospinal fluid(CSF)shunt underwent V-P shunting. Bird pump reservoir was retained in 1case and 3 cases abandoned treatment. None of them had intracranial infection. Conclusion Bird pump reservoir may yield excellent surgical outcomes for treating acute hydrocephalus in infants. It has less trauma and fewer complications