脑积水为脊髓脊膜膨出的常见并发症,约占脊髓脊膜膨出患儿的65～85％。一般认为预后不佳: 智力发育差和存活期短。此并发症对选择新生儿脊髓脊膜膨出进行手术治疗显得很重要。但是,脊髓脊膜膨出在出生时往往缺乏脑积水的常见物理体征,而是要到出生数天或数周后才出现。作者对156例脊髓脊膜膨出患儿进行了较长时间(3～10年)系统的追踪观察以研究此类脑积水的临床过程。患儿出生后即进行有关头围以及颅高压体征(包括是否有前囱隆起、颅缝分离与头皮静 Hydrocephalus is a common complication of spinal meningocele, accounting for about 65 to 85% of children with spinal meningocele. Generally considered poor prognosis: poor mental development and short survival. This complication of choice for neonatal spinal meningocele surgery is very important. However, myelomeningocele often lacks common physical signs of hydrocephalus at birth, but does not appear until several days or weeks after birth. The author of 156 cases of myelomeningocele in children for a long time (3 to 10 years) systematic follow-up observation of the clinical process of such hydrocephalus. After the birth of children with head circumference and the symptoms of intracranial hypertension (including whether there is a former chimney uplift, cranial suture separation and scalp static