摘要
早产儿颅内出血发生率较过去30年有明显降低,但随着超早早产儿存活数量的增多,严重颅内出血继发脑积水成为早产儿管理中的棘手问题之一。颅内出血后脑积水的治疗方法包括,反复腰椎穿刺放液、通过脑室储液囊反复放液、脑室-腹腔分流术、引流加灌洗和纤维溶解综合治疗、应用利尿剂减少脑脊液产生、脑室内纤维溶解治疗等。文章阐述颅内出血后脑积水的病理生理机制、不同干预措施的指征及其效果和安全性等。
Although the percentage of preterm infants developing intraventricular haemorrhage (IVH) has been greatly reduced in the past three decades, increased survival of extremely preterms has meant that severe IVH with subsequent posthaemorrhagic hydrocephalus is still one of the serious unsolved problems for managements of preterms. Therapeutic interventions for posthaemorrhagic hydrocephalus include serial lumbar punctures, repeated aspiration through a ventricular access device, ventriculoperitoneal shunting, drainage, irrigation and fibrinolytic therapy, diuretic therapy treatment to reduce cerebrospinal fluid production, intraventricular fibrinolytic therapy, etc. This review summarizes the current concepts on the pathophysiology, intervention indications, and the effectiveness and safety of different interventions of subsequent posthaemorrhagic hydrocephalus.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2014年第3期201-205,共5页
Journal of Clinical Pediatrics
基金
浙江省重点科技创新团队自主确立项目(No.2010R50045-2)
关键词
颅内出血
颅内出血后脑积水
早产新生儿
治疗
intraventricular haemorrhage
posthaemorrhagic hydrocephalus
premature infant
treatment