脑室-腹腔分流术后迟发型脑出血1例并文献复习

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Abstract：ObjectiveTo explore the causesand pathogenesis of delayed-onset cerebral hemorrhageafter ventriculoperitoneal shunt.MethodsThe clinical dataofachild patientwhodeveloped delayed cerebral hemorhage afterundergoing ventriculoperitoneal shunt surgery，admitedto Gansu Maternaland ChildHealth Hospital（Gansu Provincial Central Hospital）inAugust2O23 wereretrospectivelyanalyzed，andtherelevant literature werereviewed. ResultsThe child underwent aventriculoperitoneal shunt procedurefor congenital hydrocephalus.Postoperative imagingmore thanone month later revealedasmall amount of paraventricular hemorrhage.Subsequently，over four months post-operation，asmallpontine hemorrhage was detected，measuring approximately6.6mLat the time of the child's current admission.Upon admission，the child exhibiteda Glasgow coma scale（GCS） scoreof7（E2V2M3） and demonstrated inactivity in theleftupper limb.Following precise drainage of the hematoma via stereotactic puncture，there wasa marked improvement in the child's level ofconsciousness andmuscle strength intheaffected limb.No new hemorrhagic events were observed during follow-up after the patient was discharged.ConclusionsThe delayed intracerebral hemorrhageobserved inthischildmaybeatributed toimproperplacementof theshunts，as well as surgical trauma that could have led to degenerative vasculopathy.

Keywords：ventriculoperitoneal shunt；hydrocephalus；pontine bleeding；stereotactic technique

脑积水是一种常见的婴幼儿疾病，其特征是脑脊液在颅内过度积聚，进而导致头颅增大和颅内压增高。（剩余10579字）