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开颅术后颅内感染35例临床分析
Clinical analysis of intracranial infection after the craniotomy
【摘要】 目的探讨开颅术后颅内感染的诊断和治疗及预防。方法对我院1 258例颅脑手术后35例发生颅内感染患者的临床资料进行了回顾性分析。结果 35例开颅术后感染者,28例颅内感染得到控制,7例死亡。结论开颅术后颅内感染与多种因素相关,针对不同的危险因素做出相关的预防措施可以减少术后颅内感染的发生,早期诊断、全身使用大量有效抗生素同时行鞘内注射或脑室内给药并行脑脊液置换有明显效果。
【Abstract】 Objective To explore the methods of diagnosis,treatment and preventing of intracranial infection after the craniotomy.Methods The clinical data of 35 patients with postoperative intracranial infection in 1258 patients undergoing the craniotomy from January 1996 and June 2011 were analyzed retrospectively.Results Of 35 patients with intracranial infection after the craniotomy,28 cases were cured,7 cases died.Conclusion Multiple factors are related to the postoperative intracranial infection.For intracranial infection occurred after craniotomy,early diagnosis and timely body use of a large number of effective antibiotics,and at the same time,drainage line lumbar puncture,intrathecal or intraventricular injection of an sensitive and effective antibiotic can receive a good therapeutic effect.
- 【文献出处】 中国实用神经疾病杂志 ,Chinese Journal of Practical Nervous Diseases , 编辑部邮箱 ,2011年19期
- 【分类号】R651.1
- 【被引频次】7
- 【下载频次】78