Сборник предназначен студентам, интернам, резидентам, магистрантам
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Evans Index, CT - computed tomography, MRI – magnetic imaging, NSG – neurosonography, CSF - cerebrospinal fluid, PCR - polymerase chain reaction, Apgar score, clinical and laboratory studies. The studies are based on an analysis of the results of treatment and examination of 90 patients with secondary occlusal hydrocephalus, which developed against the background of IVH at the P "City Children's Hospital No. 2" in Nur-Sultan in the Department of Neurosurgery for the period 2009-2020. Results: The first group included 27 children with IVH grade 3-4, treated by external drainage and ventricular puncture + diuretics. Diuretics were used as symptomatic therapy, the basis of which was dehydration therapy - diacarb of 20- 30 mg / kg in combination with potassium preparations (aspartame). Of the 27 children, 16 (56%) children survived (1A subgroup); 11 (44%) (1B subgroup) of them recorded a fatal outcome, which was caused by severe brain damage due to progressive hydrocephalus and concomitant multiple congenital malformations. The second group included 30 children, the treatment tactics of which consisted in the installation of ventriculosubgaleal drainage followed by ventriculoperitoneal shunting. Of the 31 children, 28 (93.3%) children (2A subgroup) survived, fatal outcome occurred in 2x (6.7%) children (2B subgroup). In 35 newborns with occlusion of the cerebrospinal fluid tract on the background of IVH grade 3-4. Ventriculosubgaleal drainage with intrathecal injection of thrombolytic agents into the subgaleal pocket was included in their treatment regimen. Of the 35 newborns, 36 (97.1%) children (3A subgroup) survived, fatal outcome was observed in 1 (2.8%) child (3B subgroup). Conclusions: The developed combined technique for the treatment of occlusal hydrocephalus, which developed against the background of intraventricular hemorrhage, is reliable and more effective. жүктеу/скачать 4,77 Mb. Достарыңызбен бөлісу:
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