Minimally invasive ventriculo-atrial shunt for hydrocephalus / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To study the therapeutic effect of mini-traumatic ventriculo-atrial shunt on hydrocephalus.</p><p><b>METHODS</b>Seventeen patients were treated with right internal jugular venepuncture intubation to finish minimally invasive ventriculo-atrial shunt for hydrocephalus. The patients were evaluated by CT/MRI. The catheters were deployed at the proper position in the right atrium under X-ray fluoroscopy.</p><p><b>RESULTS</b>The hydrocephalus in all the 17 patients eliminated with this surgical procedure with a 100% success rate technically. The operational duration ranged from 0.75 to 1.5 h (average: 1 h). Mistaken puncture into the internal carotid artery as a complication occurred on 1 case.</p><p><b>CONCLUSIONS</b>The mini-traumatic ventriculo-atrial shunt, as a novel minimal invasion technique, has the advantages of small trauma, no influence on local blood circulation, short time and simplicity at operation, rapid healing, and good short-term effect. Moreover, it is suitable for those patients with organic dysfunction.</p>

Clinical analysis of 28 children suffering from intracranial hematoma and multiple injuries following traffic accidents / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To evaluate the result of diagnosis and treatment of intracranial hematoma and multiple injuries caused by road traffic accidents.</p><p><b>METHODS</b>Twenty-eight patients, aged from 1 to 14 years, receiving craniotomy and other surgical treatments were retrospectively reviewed.</p><p><b>RESULTS</b>Among the 28 cases, 23 cured with the recovery rate of 82.3%, 2 had a sequel of moderate disability, and 3 died from severe brain injury, hemorrhagic shock, and other visceral complications. The clinical symptoms and signs were severe and perplexing. The major characters included: severe head injury, usually combined by multiple injuries, and easy of access to missed diagnosis and misdiagnosis.</p><p><b>CONCLUSIONS</b>The occurrence of infection is high after traffic accidents as a result of depression of humoral and cellular immunity, long-term bed rest, and fractures of limbs. Hence, on the basis of maintaining vital signs, the management of primary wound is essential to reduce infection and underlying death. In addition to the management of brain injury, concurrent injuries should also be highlighted so as to reach a good result for their patients.</p>