[1]张鸿日　孟　磊　郝晓伟　陈宇航　程小兵.一种诊断脑室-腹腔分流装置梗阻的方法[J].中国临床神经外科杂志,2019,(03):151-152.[doi:10.13798/j.issn.1009-153X.2019.03.008]
　ZHANG Hong-ri,Meng Lei,HAO Xiao-wei,et al.A method to diagnose ventriculoperitoneal shunt malfunction[J].,2019,(03):151-152.[doi:10.13798/j.issn.1009-153X.2019.03.008]
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一种诊断脑室-腹腔分流装置梗阻的方法()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年03期
页码:
151-152
栏目:
论著
出版日期:
2019-03-20

文章信息/Info

Title:
A method to diagnose ventriculoperitoneal shunt malfunction
文章编号:
1009-153X（2019）03-0151-02
作者:
张鸿日　孟　磊　郝晓伟　陈宇航　程小兵
作者单位：471003 河南洛阳，河南科技大学第一附属医院神经外科 （张鸿日、孟　磊、郝晓伟、陈宇航、程小兵）
Author(s):
ZHANG Hong-ri;  Meng Lei;  HAO Xiao-wei;  CHEN Yu-hang;  CHENG Xiao-bing.
Department of Neurosurgery, The First Affiliated Hospital, Henan University of Sciences and Technology, Luoyang 471003, China
关键词:
脑室-腹腔分流术; 分流装置梗阻; 诊断
Keywords:
Ventriculoperitoneal (VP) shunt;  Malfunction;  Diagnosis;  Method
分类号:
R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.03.008
文献标志码:
A
摘要:
目的 介绍一种诊断脑室腹腔分流装置梗阻的方法。方法 选择2014年8月至2018年3月收治的腹腔分流术后病人32例，其中分流装置梗阻16例（梗阻组），分流装置通畅16例（对照组）。病人先平躺1 h后改坐位，将0.1 ml 5%葡萄糖溶液注射入贮液囊，20 min后抽0.1 ml，用生理盐水将其稀释1倍后应用血糖仪检测葡萄糖浓度。结果 对照组贮液囊内葡萄糖浓度[（6.6±1.6）mmol/L]较梗阻组[（31.9±2.8）mmol/L]明显下降（P<0.05）。梗阻组病人入院后均行脑室-腹腔分流管调整术，手术证实分流装置梗阻，术后病人颅内压增高症状消失，术后3 d复查头颅CT结果显示脑室体积较术前减小11例，无明显变化5例。结论 此方法可检测分流管内脑脊液的流动情况，为诊断分流装置梗阻提供一种新的方法。
Abstract:
Objective To provide a new method for diagnosis of ventriculoperitoneal (VP) shunt malfunction. Methods Of 32 patients undergoing VP shunt, 16 in whom the diagnosis VP malfunction shunt was definitely made were served as subjects and 16 with normal VP shunt were served as control. In each patient 0.1 ml cerebrospinal fluid (CSF) was withdrawn from the reservoir which received 0.1 ml of 5% glucose solution 20 minutes ago and then the glucose concentration of the obtained CSF was determined. Results The glucose concentration in the CSF was significantly higher in the patients with VP shunt malfunction than that in the patients with normal VP shunt (P<0.01). Conclusion The present article provides a new method for the dagnosis VP shunt malfunction.

参考文献/References:


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备注/Memo

备注/Memo:
基金项目：洛阳市科技计划医疗卫生项目（1722001A-6）
更新日期/Last Update: 2019-03-25