[1]陈亦豪,徐宵寒,魏俊吉,等.成人脑室腹腔分流术后的晚期感染并发症(4例报告并文献复习)[J].临床神经外科杂志,2019,16(2):176-184.[doi:10.3969/j.issn.1672-7770.2019.02.017]
 CHEN Yi-hao,XU Xiao-han,WEI Jun-ji,et al.Advanced infection as a complication of ventriculoperitoneal shunt in adults(a report of 4 cases and review of literature)[J].Journal of Clinical Neurosurgery,2019,16(2):176-184.[doi:10.3969/j.issn.1672-7770.2019.02.017]
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成人脑室腹腔分流术后的晚期感染并发症(4例报告并文献复习)()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第2期
页码:
176-184
栏目:
临床研究
出版日期:
2019-04-17

文章信息/Info

Title:
Advanced infection as a complication of ventriculoperitoneal shunt in adults(a report of 4 cases and review of literature)
作者:
陈亦豪徐宵寒魏俊吉赵一鸣吴昊马百涛常健博王任直马文斌
100730 北京,中国医学科学院北京协和医学院,北京协和医院神经外科(陈亦豪,魏俊吉,吴昊,马百涛,常健博,王任直,马文斌),麻醉科(徐宵寒),基本外科(赵一鸣)
Author(s):
CHEN Yi-hao XU Xiao-han WEI Jun-ji et al.
Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
关键词:
脑积水脑室腹腔分流术腹腔感染颅内感染粘连性肠梗阻
Keywords:
hydrocephalus ventriculoperitoneal shunt abdominal infection intracranial infection adhesive intestinal obstruction
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2019.02.017
文献标志码:
D
摘要:
【摘要】目的 探讨成人脑室-腹腔分流术后晚期感染并发症的临床特点及治疗措施。方法回顾性分析北京协和医院神经外科收治的4例脑积水术后感染患者的临床资料。对术后出现腹腔源性感染及多发感染并发症进行分析,并复习相关文献,总结其临床特点。结果4例术后晚期感染者均为交通性脑积水行脑室-腹腔分流术后患者。其中2例患者表现为粘连性肠梗阻、1例患者为多发腹腔内脓肿,1例患者为肺部及泌尿系感染,均合并颅内感染。经拔除脑室腹腔分流管、抗生素治疗后感染均得到控制,后期行二次分流手术,疗效满意出院。随访6个月以上,4例患者均无感染复发。结论脑室-腹腔分流术后晚期感染,尤其腹腔源性感染临床相对少见,并常合并颅内感染。其治疗过程复杂,持续引流及系统性抗生素治疗是关键。
Abstract:
Abstract: ObjectiveTo explore clinical characteristics, prevention and treatment of advanced infection as a complication of ventriculoperitoneal (VP) shunt. MethodsThe clinical data of 4 patients with hydrocephalus underwent VP shunt admitted in Peking Union Medical College Hospital were analyzed retrospectively. Results3 cases of abdominal infection and 1 of multisystemic infection were presented, all of which were patients developing hydrocephalus after neurosurgery. 2 of them were cases of adhesive intestinal obstruction and intracranial infection, 1 case was multiple abdominal abscesses, while the other one was a case of intracranial infection combined with urinary tract infection and pulmonary infection. These 4 patients were treated effectively by shunt removal and intravenous administration of antibiotics and there was no relapse during the 6-month follow-up. ConclusionsVP-shunt related advanced infection has non-specific clinical manifestations and is often associated with intracranial infection. Staphylococcus is one of the major pathogens. Shunt removal or externalization and systematic antibiotics treatment is usually required.

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更新日期/Last Update: 2019-04-17