| 摘要: |
| ［摘要］ 目的 探讨脑室-腹腔分流术治疗结核性脑膜炎并发重度脑积水的效果。方法 对10例结核性脑膜炎并发重度脑积水的患者进行脑室-腹腔分流术治疗，观察其疗效。结果 10例患者中，9例术后意识障碍好转，颅内压增高症状明显缓解，1例头痛、头晕缓解不明显，但经治疗4 d后逐渐缓解。1例术后2个月后出现分流管阻塞，无一例发生结核性腹膜炎。结论 脑室-腹腔分流术是治疗结核性脑膜炎并重度脑积水的有效方法之一。 |
| 关键词: 结核性脑膜炎 脑积水 脑室-腹腔分流术 |
| DOI：10.3969/j.issn.1674-3806.2011.01.24 |
| 分类号:R 529.3 |
| 基金项目: |
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| Ventriculo-peritoneal shunt in the treatment of tuberculous meningitis patients with severe hydrocephalus: report of 10 cases |
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QIN Zhu-yi,NONG Yong-dong, CAI Heng-sen，et al.
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Department of Neurosurgery，the Second People′s Hospital of Pingnan County, Guangxi 537307，China
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| Abstract: |
| ［Abstract］ Objective To investigate the effect of Ventriculo-peritoneal shunt in the treatment of tuberculous meningitis patients with severe hydrocephalus. Methods Ten tuberculous meningitis patients with severe hydrocephalus received Ventriculo-peritoneal shunt. Their effect were observed. Results In 10 patients， the disturbance of consciousinss in 9 patients were improved after treatment； symptoms of increased intracranial pressure were relieved. In one patient the improvement of headache and dizziness was not obvious， but gradually improved after 4 days of treatment. Shunt tube obstruction was found in one patient 2 months after treatment， and no case of tubercular peritonitis was found. Conclusion Ventriculo-peritoneal shunt is an effective treatment of tuberculous meningitis patients with severe hydrocephalus. |
| Key words: Tuberculous meningitis Hydrocephalus Ventriculo-peritoneal shunt |
