在正常压力脑症患者的分流手术后,何时以及如何怀疑并发症?
Johan Virhammar1, Oskar Fasth2, Fredrik Vedung3
1Department of Medical Sciences, Neurology, Uppsala University, Akademiska Sjukhuset, ing 85, Uppsala, 751 85, Sweden. johan.virhammar@neuro.uu.se.
Acta neurochirurgica
|January 8, 2025
概括
针对异常性正常压力脑症 (iNPH) 的分流手术后的术后并发症经常在计划的后续检查和CT扫描期间被检测出来. 结构化的后续检查程序对于在iNPH患者中识别微妙的分流功能障碍至关重要.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医疗设备监控 医疗设备监控
背景情况:
- 异常性正常压力脑症 (iNPH) 管理包括分流手术,但术后后续检查方案各不相同.
- 旁路手术带有固有的风险,在手术后的不同时间点可能出现并发症.
- 有效的监测对于及时检测和管理并发症至关重要.
研究的目的:
- 为了调查iNPH的心室关突变手术后发现并发症的时间和方法.
- 分析手术后期发现并发症的模式.
主要方法:
- 在2011年至2018年期间,对491名因iNPH而接受了分流手术的患者进行了回顾性分析.
- 在手术后的头12个月内从医疗记录中记录并发症类型和检测方法.
- 并发症的分类和检测的初始指标.
主要成果:
- 20.8%的患者在一年内出现并发症,分流修正率为15.5%.
- 最常见的是体下血瘤/体下血瘤 (27例),很少需要手术.
- 计划的随访 (包括CT扫描) 和患者报告的症状是关键的检测方法,分别占56%和31.4%.
结论:
- 在iNPH患者中,大多数与分流相关的并发症都在预定后续预约或调查期间被发现.
- 结构化的后续策略,包括CT扫描和定期访问,对于早期检测微妙的分流功能障碍至关重要.
- 在iNPH的认知障碍需要一个强大的监测系统,以确保患者的安全和最佳的结果.
更多相关视频
09:00The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
Published on: October 2, 2014
13.7K
09:23Shunt Surgery, Right Heart Catheterization, and Vascular Morphometry in a Rat Model for Flow-induced Pulmonary Arterial Hypertension
Published on: February 11, 2017
16.8K
相关概念视频
01:25Glaucoma: Overview
528
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
528
01:29Suctioning the Nasopharyngeal Airway
316
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
316
01:28Angle Closure Glaucoma: Treatment
454
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
454