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目的总结超声引导侧脑室穿刺引流治疗早产儿颅内出血后脑积水的临床经验。方法选择2011—2013年本科收治的因颅内出血后脑积水接受超声引导侧脑室穿刺引流的早产儿,回顾性分析其临床特点、治疗过程、疗效和并发症。结果 7例患儿经侧脑室穿刺引流,其中5例治疗有效,2例治疗无效。2例患儿在引流过程中出现呼吸暂停,另有1例并发颅内感染。结论超声波引导下侧脑室穿刺引流治疗早产儿颅内出血后脑积水具有简单易行、损伤小、并发症少、短期效果显著的优点,值得进一步深入研究。
Objective To summarize the clinical experience of ultrasound-guided lateral ventricle puncture and drainage for the treatment of hydrocephalus after intracranial hemorrhage in premature infants. Methods Preterm infants undergoing intracranial hemorrhage hydrocephalus received ultrasound-guided ventricular puncture and drainage were enrolled in this study. The clinical features, course of treatment, curative effect and complications were retrospectively analyzed. Results Seven children were punctured by lateral ventricle puncture, of which 5 were effective and 2 were ineffective. Two patients had apnea during drainage and another had intracranial infection. Conclusion Ultrasound-guided lateral ventricle puncture and drainage for the treatment of hydrocephalus after intracranial hemorrhage in premature infants has the advantages of simple and easy to operate, less injury, fewer complications and significant short-term effect, which deserves further study.