PDF(Pubmed)
Abstract：
Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage and intracranial pressures control. It reduces infection rate and brain damage resulted in delayed shunt insertion. It is extremely important to let PHH infants get older and gain weight to have internal organs to be matured before undergoing VP shunt. As premature infants undergo shunt after further growth, shunt-related complications would be reduced. So temporary surgical intervention is critical for PHH infants to have them enough time until permanently shunted.
摘要：
早产儿出血性脑积水（PHH）很常见，危及生命和不良发育结果的主要原因。脑室腹膜（VP）分流术被用作PHH的最终治疗方法。低出生体重和低胎龄是不良预后因素的组合，而VP分流的最重要的预后因素是年龄。积极的早期干预对脑室出血和颅内压控制有较好的效果。它降低了感染率和脑损伤，导致分流插入延迟。在进行VP分流之前，让PHH婴儿变老并增加体重以使内部器官成熟是非常重要的。由于早产儿在进一步生长后进行分流，分流相关并发症将减少。因此，临时手术干预对于PHH婴儿有足够的时间直到永久分流至关重要。
