婴儿脑积水的临床及病因特点

D. Kositov, H. J. Rakhmonov, R. Berdiev, U. H. Rakhmonov
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摘要

的目标。分析小儿脑积水的病因、临床病程及其与各种病因的关系。材料与方法。该研究对2020年至2022年期间在以Shifobakhsh命名的共和党神经外科科学中心儿科神经外科住院的47名婴儿的数据进行了回顾性分析。对患者进行了全面的诊断技术评估,包括CT, MRI,神经眼科检查和神经超声检查。在脑积水患儿中,感染性炎症性中枢神经系统疾病为主要病因23例(48.9%),颅脑外伤12例(25.6%),脑肿瘤病变7例(14.9%),先天性因素5例(10.6%)。47例(100%)患者均表现出全身性脑症状,并表现出高血压-脑积水综合征的体征。我们的研究结果表明,婴儿脑积水最常发生在感染性炎症性中枢神经系统疾病之后,而先天性原因相对较少。通过对脑积水的临床特征和病因的研究,可以选择合适的诊断策略和最佳的手术治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and etiological features of hydrocephalus in infants
Aim. To analyze the causes and clinical course of hydrocephalus in infants and its association with various etiological factors.Materials and Methods. The study involved a retrospective analysis of data from 47 infants who were hospitalized in the Pediatric Neurosurgery Department of the Republican Scientific Center of Neurosurgery named after Shifobakhsh between the years 2020 and 2022. The patients were evaluated using a comprehensive range of diagnostic techniques, including CT, MRI, neuro-ophthalmoscopy, and neurosonography.Results. Among the infants with hydrocephalus, infectious-inflammatory CNS diseases were identified as the primary cause in 23 cases (48.9%), cranial-brain trauma in 12 cases (25.6%), brain tumor processes in 7 cases (14.9%), and congenital factors in 5 cases (10.6%). All 47 (100%) patients presented with generalized cerebral symptoms and exhibited signs of hypertensive-hydrocephalic syndrome.Conclusion. Our findings demonstrate that hydrocephalus in infants most commonly develops following the occurrence of infectious-inflammatory CNS diseases, while congenital causes are relatively less prevalent. The investigation of the clinical features and etiology of hydrocephalus enables the selection of appropriate diagnostic strategies and optimal surgical treatment methods.
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