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有人报告5例患有进行性脑积水的新生儿,应用头部压迫包扎法治疗后获得显著的效果(译文见本刊1974年第3期)。本文报告应用头部包扎法治疗新生儿脑积水引起2例并发症。例1 生于1973年1月19日,出生时体重为1,050克,头围为24厘米。生后3周时注意到其头围迅速增大,达33.5厘米。生后7周时曾作脑室造影检查,显示为交通性脑积水。3月13日曾作脑室腹腔分流手术治疗。术后第9天发现沿分流处有脑脊液渗漏,取渗漏液作培养有大肠杆菌生长。除去分流并给予适当的抗菌素治疗。患儿逐渐好转。在这一治疗期间,患儿头围维持不变,在作分流术时为35.0厘米,在4月4日为35.5厘米。
Five newborns with progressive hydrocephalus were reported to achieve significant results after head compression banding. This article reports the application of head bandage in the treatment of neonatal hydrocephalus causing two complications. Example 1 was born on January 19, 1973, weighing 1,050 grams at birth, head circumference of 24 cm. Three weeks after birth, he noticed a rapid increase in head circumference of 33.5 cm. Ventricular biopsy was performed 7 weeks after birth, showing traffic hydrocephalus. March 13 had a ventricle peritoneal shunt surgery. On the 9th day after operation, there was leakage of cerebrospinal fluid along the shunt, and the leachate was taken for culture to grow E. coli. Remove the shunt and give appropriate antibiotic treatment. Children gradually improved. During this treatment, the head circumference of the child remained unchanged at 35.0 cm for shunting and 35.5 cm on April 4.