Special Column
Analysis of clinical features and prognosis in neonates with Ommaya reservoir placement
Chi Xiufang, Zhang Yong
Published 2022-03-15
Cite as IMHGN, 2022, 28(6): 825-828. DOI: 10.3760/cma.j.issn.1007-1245.2022.06.023
Abstract
ObjectiveTo analyze the possible factors affecting complications and prognosis after Ommaya reservoir placement, and to study the preventive measures.
MethodsChildren with intracranial hemorrhage or hydrocephalus after intracranial hemorrhage who were admitted to neonatal intensive care unit (NICU) of Guangdong Women and Children Hospital from August 2020 to July 2021 and underwent Ommaya reservoir placement were selected. The general information, clinical manifestations, postoperative complications, and prognosis were retrospectively analyzed.
ResultsEight cases met the inclusion criteria, including 4 males and 4 females, and 1 case was full term and 7 cases were premature. Six cases had good surgical results, who had no postoperative bleeding, difficulty in puncture, blocking the tube, displacement of Ommaya reservoir, or liquid leakage, but among whom 2 cases had postoperative intracranial infection; 2 cases had poor surgical results.
ConclusionsIntracranial hemorrhage or hydrocephalus after intracranial hemorrhage is common in premature infants, and is more than grade Ⅲ. Ommaya reservoir placement is an extremely effective method for hydrocephalus, and its most common postoperative complication is intracranial infection. Ommaya reservoir placement is not recommended when combined with intracranial infection.
Key words:
Preterm infants; Intracranial hemorrhage; Hydrocephalus; Ommaya reservoir placement; Complications
Contributor Information
Chi Xiufang
Department of Neonatology, Guangdong Women and Children Hospital, Guangzhou 511442, China
Zhang Yong
Department of Neonatology, Guangdong Women and Children Hospital, Guangzhou 511442, China