Neonatal Medicine

  • 제16권2호
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  • Pages.234-238
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  • 2009
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  • 2287-9412(pISSN)
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  • 2287-9803(eISSN)
대한신생아학회 (The Korean Society of Neonatology)
권호 표지

Ommaya reservoir로 관리한 초극소저출생 체중아의 출혈 후 수두증 1례

Management of Posthemorrhagic Hydrocephalus in an Extremely Low Birth Weight Infant with an Ommaya reservoir: A Case Report

  • 조혜정 (가천의과대학교 길병원 소아과학교실) ;
  • 손동우 (가천의과대학교 길병원 소아과학교실) ;
  • 심소연 (가천의과대학교 길병원 소아과학교실) ;
  • 김은영 (가천의과대학교 길병원 신경외과학교실) ;
  • 김승기 (서울대학교 의과대학 신경외과학교실) ;
  • 김한석 (서울대학교 의과대학 소아과학교실) ;
  • 전인상 (가천의과대학교 길병원 소아과학교실)
  • Cho, Hye-Jung (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Son, Dong-Woo (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Shim, So-Yeon (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Kim, Eun-Young (Department of Neurosurgery, Gachon University of Medicine and Science, Gil Hospital) ;
  • Kim, Seung-Ki (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Kim, Han-Suk (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Jeon, In-Sang (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital)
  • 발행 : 2009.11.30

⟨ 이전 논문 다음 논문 ⟩

초록

출혈 후 수두증은 미숙아에서 발생하는 주요한 합병증 중 하나이다. 저자들은 출혈 후 수두증을 가진 초극소 저출생체중아에게 Ommaya reservoir를 삽입하여 2개월 이상 반복적인 뇌척수액 배액을 시행하였다. Ommaya reservoir는 출혈 후 수두증을 가진 초극소 저출생체중아에서 뇌실복강지름술이 가능한 시기까지 수두증 관리에 유용한 방법으로 생각된다. 같은 환아에서 치료 중 뇌척수액 배액에 동반된 저나트륨혈증이 발견되어 나트륨 투여로 치료하였던 1례를 보고한다. 되풀이되는 뇌척수액 배액이 필요한 영아에서 정기적 혈중 나트륨농도 측정이 필요할 것으로 생각된다.

Posthemorrhagic hydrocephalus is a major problem in premature infants. We describe our experience with a neonate that was an extremely low birth weight infant with posthemorrhagic hydrocephalus, who was treated by repeated ventricular drainage through an Ommaya reservoir for more than two months until the placement of a ventriculoperitoneal shunt was possible. The Ommaya reservoir served as a bridge to definitive treatment. The patient required sodium supplements due to excessive salt loss from the repeated ventricular drainage procedures. Regular measurement of serum electrolytes in any infant requiring serial ventricular drainage is recommended.

키워드

참고문헌

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