对于结核性脑膜炎相关的脑水性疾病的心室关突变:长期结果和并发症
Xiao Zhang1, Pengtao Li1, Junxian Wen1
1Department of Neurosurgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
BMC infectious diseases
|October 31, 2023
概括
腹腔关节 (VPS) 有效地在结核性脑膜炎 (TBM) 中短期管理水脑. 长期的结果显示出不同的结果,强调需要持续监测,以解决TBM患者的分流并发症.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 神经外科 神经外科
背景情况:
- 水脑是结核性脑膜炎 (TBM) 的常见并发症.
- 腹腔皮质突变 (VPS) 放置改善了与TBM相关的头症的短期结果.
- 长期预后和与分流相关的并发症需要进一步调查.
研究的目的:
- 综合评估VPS治疗的TBM患者的长期预后和分流相关并发症.
- 评估VPS在管理TBM诱导的头的有效性和安全性.
主要方法:
- 对14名用VPS治疗的脑水症TBM患者的回顾性分析.
- 评估短期 (核准) 和长期 (后续) 的结果.
- 使用修改的兰金尺度 (mRS) 和日常生活活动 (ADL) 评分来评估神经功能和日常生活能力.
主要成果:
- 92.9%的短期结果是有利的,57.1%的长期结果是积极的.
- 最初的恢复率:6个是完全的,7个是部分的. 没有初始导管并发症.
- 长期并发症包括导管阻塞 (3),感染 (2),脑梗塞 (1) 和腹膜刺激 (1).
结论:
- 在TBM相关的头症中,VPS有效治疗急性内高血压.
- 一般来说,VPS的耐受性很好,但长期监测至关重要.
- 需要积极主动管理,以减轻与分流相关并发症的风险.
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