查詢結果分析
相關文獻
- Prospective Neurosonographic Study in Infantile Purulent Meningitis
- 嬰幼兒氣質評估之臨床應用
- 三歲定終生•嬰幼兒腦神經發展面面觀(1):神經系統的發生與發育
- 三歲定終生•嬰幼兒腦神經發展面面觀(2):嬰幼兒的發展是不是正常?
- 三歲定終生•嬰幼兒腦神經發展面面觀(3):由反射來評估嬰幼兒腦神經發展
- Concurrent Validity of the Comprehensive Developmental Inventory for Infants and Toddlers with the Bayley Scales of Infant Development-Ⅱ in Preterm Infants
- 怎樣指導嬰幼兒游泳
- 人之初「性」本善:談嬰幼兒的自慰行為
- 從零歲到一百歲的眼睛保健(1):認識嬰兒、幼兒的眼睛
- 幼兒教育的新趨向:培養超級嬰兒的研究
頁籤選單縮合
題 名 | Prospective Neurosonographic Study in Infantile Purulent Meningitis=化膿性腦膜炎的前瞻性神經超音波學研究 |
---|---|
作 者 | 沈淵瑤; 蔡宗佑; 黃棣棟; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 39:3 民87.05-06 |
頁 次 | 頁180-185+212 |
分類號 | 415.9313 |
關鍵詞 | 神經超音波; 化膿性腦膜炎; 幼兒; 嬰兒; Neurosonography; Purulent meningitis; Infant; Newborn; |
語 文 | 英文(English) |
中文摘要 | 嬰幼兒期的細菌性腦膜炎常肇成很高的死亡率及後遺症,此化膿症腦膜炎可併發 腦室炎,硬腦膜下蓄膿、腦膿瘍、水腦、靜脈栓塞、動脈血管炎及腦梗塞等,以神經影像檢 查來早期偵測這些併發的病變,並佐以必要的外科治療,可降低這些病變對腦細胞的破壞並 減少後遺症。本研究以前瞻性的神經超音波檢查,對經診斷為化膿性腦膜炎的嬰幼兒,自第 一天、第二天、第三天、第五天、第七天、第十天、第十四天、第二十一天、第二十八天、 二個月、四個月及六個月,每一病例進行十二次規則性觀察研究,早期發現包括腦水腫八例 ,硬腦膜下積水四例,腦室炎及腦室擴大五例,腦室膜下囊腫一例,週腦室出血一例及腦組 織迴音加強七例。在追蹤時期,如果發現有進行性水腦或硬腦膜下積膿而有壓迫現象,則與 神經外科醫師會診,進行必要的外科治療,吾人發現,以此超音波之檢查,合併適當的時期 外科治療,對病人的預後助益很大。 |
英文摘要 | Fourteen infants or neonates with purulent meningitis underwent prospective brain sonography follow-up for early detection of intracranial complications. Most patients had 12 scans during a 6 month period. The children's ages ranged from 5 days to 11 months. Early surgical intervention is suggestd in progressive ventricular dilatation or severe subdural fluid collection. One patient with hydrocephalus had ventriculoperitoneal shunting. Three patients developed subdural empyema. One had subdural external drainage; and repeat subdural tappings were done in the other two. All these patients recovered without obvious neurologic sequelae. Two other patients developed ventricular dilatation one month after the onset of meningitis. Hydrocephalus ex vacuo was suspected and there were no indications for shunt surgery. These latter two cases had developed mild psychomotor retardation on their last follow-up. This primitive observation suggests that early detection with prospective, sequential sonography follow-up and appropriate surgical intervention for hydrocephalus or subdural fluid collection may lessen the neurologic sequelae in infantile and neonatal purulent meningitis. |
本系統中英文摘要資訊取自各篇刊載內容。