Objective To investigate the incidence,risk factors,mechanisms and outcomes of delayed intracranial haemorrhage(DICH)after ventriculoperitoneal shunt(VP)in adults.Methods Clinical data of 69 patients who underwent VP shunt from January 2011 to December 2023 in our hospital were retrospectively analysed.Information on gender,age,primary intracranial lesion,history of craniotomy,laboratory tests,computed tomography CT image characteristics after VP,treatment,and Glasgow prognostic score(GOS)at 6 months follow-up were collected.Results DICH occurred in 9(13.0％)of the cases included in this study,with a median day of onset of 6 d,haematoma volume of(4.68±7.57)mL,and intraventricular haemorrhage as the most common type.1 patient with severe neurological deterioration underwent secondary surgery,8 patients recovered well 6 months after the haemorrhage,and 1 case died.Conclusion DICH after VP is not rare,with an incidence of 13.0％.History of craniotomy is associated with a high risk of DICH,and neurological status and haematoma volume are associated with the prognosis of DICH.The high incidence of DICH is in the 1st week after VP.It is recommended that CT be performed on postoperative day 1 and routinely repeat CT within 7 days.
万方数据
维普
