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有人提出早产婴脑室内出血可通过腰穿减低颅内压并限制脑积水的进展。在两年中,我们对监护中心的婴儿进行了连续腰穿,试图治疗出血后脑积水,发现治疗后脑膜炎发生率高的惊人。为了判定引起脑膜炎的原因,我们对出血后脑积水采用腰穿治疗并发与未并发脑膜炎的婴儿进行了比较。 方法 通过neurosongrams检查,筛查出全部早产婴的脑室内出血。根据PapiLe等对脑室内出血的严重性进行分类。一旦证明有进行性脑积水,开始每天连续腰穿治疗,其目的是使脑室大小恢复正常或保持2周无变化。我们希望每天做腰穿,但如果脑室进行性增大或连续3天腰穿不成功,就停止腰穿。
It was suggested that premature infants intraventricular hemorrhage can reduce intracranial pressure through the waist to wear and limit the progress of hydrocephalus. In two years, we conducted continuous lumbar puncture on infants in the care center to try to treat post-hemorrhagic hydrocephalus and found that the incidence of meningitis was high after treatment. In order to determine the cause of meningitis, we compared the post-hemorrhagic hydrocephalus with lumbar puncture and concurrent infants with non-concurrent meningitis. Methods Neurosongrams were used to screen intraventricular hemorrhage in all preterm infants. According to PapiLe et al on the severity of intraventricular hemorrhage were classified. Once progressive hydrocephalus has been demonstrated, continuous daily lumbar puncture is started, with the aim of returning ventricular size to normal or remaining unchanged for 2 weeks. We would like to have a lumbar puncture every day, but if the ventricles increase progressively or the lumbar puncture is not successful for 3 consecutive days, we stop lumbar puncture.