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首页> 外文期刊>American Journal of Psychiatry and Neuroscience >Hydrocephalus in the Pediatric Population in the Tropic Co-morbidity Impact at CHU in Conakry
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Hydrocephalus in the Pediatric Population in the Tropic Co-morbidity Impact at CHU in Conakry

机译：科纳克里CHU热带儿童合并症对小儿脑积水的影响

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Hydrocephalus is a pathologic dilatation of the ventricles which occurs progressively when provoked by a disruption in the production, circulation and reabsorption of the cerebrospinal fluid (CSF). This study aims to report the impact of co-morbidities on the surgical outcome of pediatric hydrocephalus in Guinea. It was a retrospective clinical study carried out at Friendship hospital, Sino-Guinea of Kipe, for 13 months. 107 patients were scheduled for hydrocephalus surgery. The incidence of Hydrocephalus was 8.20% related to the 107 patients admitted during our period of study. The main comorbitdies encounter were, anemia (73 cases), respiratory infection (38 cases) malaria (malaria 37 cases), malnutrition (14 cases), deshydratation (11 cases), candidosis (7 cases), respiratory detress (6 cases), cutaneous infections (6 cases), convulsion (6 cases), meningitis (5 cases), otorhinolaryngology infection (2 cases), septicemia (2 cases) tardive neonatal infection (91 cases). The outcome of pediatric hydrocephalus, including surgical complications, neurological sequelae and academic achievement, has been the matter of many studies. However, much uncertainty remains, regarding the very long-term and social outcome, and the determinants of complications and clinical outcome. Hydrocephalus is a commonly encountered pediatric pathology in sub-Saharan Africa where it constitutes a major public health concern. The etiologies are still dominated by neonatal infections. The treatment is essentially a surgical approach.
机译：脑积水是脑室的病理性扩张，当脑脊液（CSF）的产生，循环和再吸收中断时，脑积水会逐渐发生。这项研究旨在报道合并症对几内亚小儿脑积水手术结局的影响。这是在吉普省中几内亚友谊医院进行的一项为期13个月的回顾性临床研究。 107例患者计划进行脑积水手术。与我们研究期间收治的107例患者相关，脑积水的发生率为8.20％。遇到的主要并发症为：贫血（73例），呼吸道感染（38例）疟疾（疟疾37例），营养不良（14例），脱水（11例），念珠菌病（7例），呼吸器（6例），皮肤感染（6例），惊厥（6例），脑膜炎（5例），耳鼻喉科感染（2例），败血病（2例）迟发性新生儿感染（91例）。小儿脑积水的结局，包括手术并发症，神经系统后遗症和学术成就，一直是许多研究的问题。然而，关于长期和社会结果以及并发症和临床结果的决定因素，仍然存在很多不确定性。脑积水是撒哈拉以南非洲地区常见的儿科病理学，构成了主要的公共卫生问题。病因仍以新生儿感染为主。治疗本质上是外科手术方法。

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