婴儿外部性脑积水病因及预后探讨(附60例报告)

EXPLORATION ON THE ETIOLOGY AND PROGNOSIS OF INFANTILE EXTERNAL HYDROCEPHALUS (WITH A REPORT OF 60 CASES)

目的 探讨婴儿外部性脑积水的病因、治疗及预后。方法 对 60例外部性脑积水的发病年龄、临床表现、治疗及有关因素进行回顾性分析。结果 特发性、同时有维生素 D缺乏性佝偻病症状、体征者 34例 ,占 56% ,给予相应的治疗且预后好。继发于新生儿缺氧缺血性脑病及颅内感染者预后差。 2 5例随访至 1～ 3岁 ,1 5例痊愈 ,占 60 % ,6例好转 ,4例无改变。结论 维生素 D缺乏性佝偻病与外部性脑积水的发病因素密切相关。治疗除针对病因及对症治疗外 ,应注意患儿全身营养状况的改善。

Objective To explore the etiology ,treatment and prognosis of infantile external hydrocephalus(EH).Methods Retrospective analysis of the onset ages ,clinical manifestations,treatment and other correlative factors were made among 60 cases of external hydrocephalus.Results 34 cases (56%) with symptoms and physical signs of idopathetic vitamin D deficient rachitis got favourable prognoses after the corresponding treatment.Those with EH secondary to neonate anoxic and ischemic encephalopathy and intracranial infections had unfavourable prognoses.Follow up surveys were made among 25 cases until they had grown up to 1 3 years old.15 cases were found to have been cured ,6 had their symptoms improved and 4 got no effective recovery.Conclusion The occurrence of vitamin D deficient rachitis is closely related to the attack of EH.Apart from the expectant treatment,attention should be paid to the improvement of the general nutritional conditions of infants with EH.