中国现代手术学杂志2025，Vol.29Issue(5)：380-384,5.DOI:10.16260/j.cnki.1009-2188.2025.05.005
序贯手术治疗18例新生儿脑出血后脑积水的应用分析
Analysis of the sequential treatment in 18 cases of neonatal post-hemorrhagic hydrocephalus
何崇伟 1曾令鸿 2陈兵2
作者信息
- 1. 广东医科大学,广东 湛江 524023||茂名市妇幼保健院外科,广东 茂名 525000
- 2. 广东医科大学,广东 湛江 524023||广东医科大学附属医院神经外科中心,广东 湛江 524000
- 折叠
摘要
Abstract
Objective To evaluate a sequential treatment protocol for post-haemorrhagic hydrocephalus(PHH)after neonatal intracranial haemorrhage and to assess its value in standardised clinical workflow man-agement.Methods Clinical records of 18 neonates with PHH treated at Maoming Maternal and Child Health Hospital between October 2018 and December 2023 were reviewed retrospectively.Management was delivered in three sequential stages:acute external ventricular drainage(EVD),transitional intermittent tapping via a subcutaneous Ommaya reservoir,and elective ventriculoperitoneal shunting(VPS).Process measures and out-comes were analysed descriptively for each stage.Results All 18 infants underwent EVD,which effectively reduced intracranial pressure and removed haemorrhagic cerebrospinal fluid.Eleven subsequently received an Ommaya reservoir for the transitional phase,and four ultimately required VPS,and the cerebral ventricles gradually resumed normal development postoperatively.Two children withdrew from treatment.One developed postopera-tive intracranial infection,and hydrocephalus was ameliorated in 16 children.Conclusions The sequential surgical treatment strategy proposed by our team-namely,acute-stage external ventricular drainage(EVD),in-termittent tapping via a subcutaneous Ommaya reservoir during the transitional phase,and elective ventriculo-peritoneal shunting(VPS)-aligns with the pathological progression pattern of post-hemorrhagic hydrocephalus in neonates.This strategy achieves phased,controllable,and low-risk treatment goals,thereby providing a val-uable reference for standardized clinical management.Given its high feasibility,safety,and efficacy,this ap-proach warrants wider clinical adoption.关键词
新生儿/脑室内出血/脑积水/序贯治疗Key words
neonatal/intraventricular haemorrhage/hydrocephalus/sequential therapy引用本文复制引用
何崇伟,曾令鸿,陈兵..序贯手术治疗18例新生儿脑出血后脑积水的应用分析[J].中国现代手术学杂志,2025,29(5):380-384,5.
