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An Unusual Iatrogenic Cerebrospinal Fluid Leakage from Ventriculoperitoneal Shunt

罕見的醫源性腦脊髓液滲漏

摘要


一位腎功能不全的患者因洗腎所需放置了希克曼氏導管,但卻開始發燒,且導管放置處持續有液體滲出。因導管放置處並無紅腫等發炎現象,故排除局部感染的可能性。由於該患者曾接受腦室腹膜分流術,故安排了核醫腦室腹膜分流管通暢檢查,因而證實了腦室腹膜分流管滲漏的事實。

並列摘要


A case of renal insufficiency received Hickman catheter insertion for hemodialysis suffered from fever and continuous discharge after then. Local infection at the insertion site of the Hickman catheter was less favored due to the insertion site is absent in local redness, swelling or pus formation and the discharge is large in amount and clear in character. Taking his history into consideration, leakage of the ventriculoperitoneal (VP) shunt that inserted previously was suspected instead and the VP shunt patency scan proved it.

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