https://scholars.lib.ntu.edu.tw/handle/123456789/559497
標題: | Surgical management of intraventricular hemorrhage and posthemorrhagic hydrocephalus in premature infants | 作者: | MENG-FAI KUO | 關鍵字: | Case management; Intraventricular hemorrhage; Posthemorrhagic hydrocephalus; Premature infant; Preterm infant; Ventriculoperitoneal shunt | 公開日期: | 2020 | 卷: | 43 | 期: | 3 | 來源出版物: | Biomedical journal | 摘要: | Perinatal intraventricular hemorrhage (IVH) with or without development of posthemorrhagic hydrocephalus (PHH) in premature neonates may lead to severe neurological disability. Although the percentage of preterm infants developing IVH has been greatly reduced in the last three decades, increased survival of these very immature infants has meant that large IVH with subsequent PHH is still a serious unsolved problem. Early cerebrospinal fluid diversion as a temporizing measure or a permanent shunt is the treatment of choice. This review summarizes the surgical modalities, techniques, and their complications in the management of IVH and PHH in premature infants. Though there is no level-one evidence to support the superiority of any of the currently available managements in the initial treatment of PHH over others, this review aims to provide pediatric neurosurgeons a comprehensive understanding of the pros and cons of various surgical treatment modalities, focusing on the temporizing measures before the infants is heavy enough to undergo ventriculoperitoneal shunt insertion. Based on the patient's condition, the facility and man power of the institution with minimal complication rate, the pediatric neurosurgeons may choose the best initial approach for the management of IVH and PHH in premature infants. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/559497 | ISSN: | 23194170 | DOI: | 10.1016/j.bj.2020.03.006 | SDG/關鍵字: | acetazolamide; furosemide; brain hemorrhage; brain ventricle peritoneum shunt; clinical effectiveness; clinical feature; evidence based medicine; fibrinolytic therapy; human; hydrocephalus; infant; lavage; lumbar puncture; neuroendoscopic lavage; neurosurgeon; neurosurgery; outcome assessment; pediatric neurosurgeon; postoperative complication; prematurity; Review; risk benefit analysis; surgical approach; surgical drainage; survival time; third ventriculostomy |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。