患儿分流术后分流管断裂1例伴文献复习
One Case of Shunt Fractured after Shunt Sur-gery in a Child with Related Literature Re-view
DOI: 10.12677/ACM.2022.12121740, PDF,   
作者: 肖 宇, 王美华, 栗世方*：青岛大学附属医院神经外科，山东 青岛
关键词: 脑积水；分流故障；儿童；Hydrocephalus； Shunt Malfunction； Children
摘要: 脑室腹腔分流术患者并发症较多，其中分流管断裂不容忽视。分流管断裂的确切原因和相对容易断裂的部位仍无明确答复。方法：在PubMed中以“脑积水、导管断裂、儿童”为检索词，检索1990年至2021年的相关文献，然后我们从89篇文献中提取9篇符合我们制作表格的需要。并且没有关于分流破裂并发症的在线综述文章。我们希望通过这篇文章能够给临床医生一些启示，对他们的临床决策提供一些帮助。结果：本综述中，我们发现分流管破裂最常见的部位是颈部，其次是胸部和腹部。儿童发生断裂的几率高于成人。结论：及时关注术后患者的症状和体征，尽早手术可能更有利于患者的恢复。
Abstract: There are many complications in patients with a ventriculoperitoneal shunt, of which shunt fracture should not be ignored. There is still no definite reply on the precise cause of shunt fracture and the site that is relatively easy to break. Methods: We searched the relevant literature from 1990 to 2021 with the search terms “hydrocephalus, catheter fracture, children” from PubMed, then we ex-tracted 9 of 89 articles that meet our needs to make a table. And there is no online review article on the complications of shunt rupture. We hope that through this article, we can give some inspiration to the clinicians and give some help to their clinical decision-making. Results: In this review, we found that the most common site of shunt rupture is the neck, followed by the chest and abdomen. Children have a higher chance of fracture than adults. Conclusions: Timely attention to the symp-toms and signs of postoperative patients and early surgery may be more conducive to the recovery of patients.
文章引用：肖宇, 王美华, 栗世方. 患儿分流术后分流管断裂1例伴文献复习[J]. 临床医学进展, 2022, 12(12): 12074-12080. https://doi.org/10.12677/ACM.2022.12121740

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