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儿童身高的增长是采用脑室心房造瘘术时的问题之一。在生长过程中,分流导管从右心房脱出到上腔静脉,以后到颈内静脉,继之静脉和分流管有血栓形成。为了解决这个问题,作者采用了在颈部安置导管袢的脑室右心房造瘘术,治疗了16例患儿,最长者已随访3年,患儿发育尚满意,未见到精神障碍。下肢有轻度痉挛性截瘫的原因,是由于矢状面周围的脑皮质在术前已有明显的萎缩。
The growth of children’s height is one of the problems when using intraventricular atrial fistulation. During growth, the shunt catheter emerges from the right atrium to the superior vena cava and later to the jugular vein, followed by thrombosis of the vein and shunt. In order to solve this problem, the authors used intraventricular ostomy for catheterization in the neck. Sixteen children were treated. The longest follow-up was 3 years. The children were still satisfied with the development and no mental disorders were found. Lower extremity mild spastic paraplegia is due to the sagittal plane around the cerebral cortex in the preoperative significant atrophy.