改良式腰大池置管持续外引流治疗术后颅内感染  

Treatment of Postoperative Intracranial Infection by Reforming-Continuous Lumbar Subarachnoid Drainage

作　　者：虞露立[1] 万登峰[2] 刘键民[2] 古金海[2] 

机构地区：[1]南昌大学研究生院医学部 [2]江西省人民医院神经外科,南昌330006

出　　处：《江西医学院学报》2009年第4期98-100,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的探讨改良式腰大池置管引流治疗术后颅内感染的疗效。方法采用改良式持续腰大池置管引流治疗术后颅内感染患者30例。其中腰大池持续引流13例,腰大池引流并鞘内注入敏感抗生素治疗17例。结果30例患者中28例(93.3%)痊愈出院,2例(6.6%)无效。随访3～6个月,无颅内感染及及脑疝等并发症发生。结论改良式腰大池置管引流加鞘内注药,配合静脉应用敏感抗生素是治疗术后颅内感染一种安全、有效的方法。Objective To evaluate the curative effect of reforming-continuous lumbar subarach- noid drainage on intracranial infection after the craniotomy. Methods The clinical data of 30 patients with intracranial infection,treated by reforming-continuous lumbar drainage in our department from May, 2005 to November 2008, were analyzed retrospectively. Of the 30 patients, 13 suffered from intracranial infection complicated by CSF leakage at the operative sites, 12 from CSF rhinorrhea, and 5 only from intracranial infection. Results Thirteen patients were cured only by reforming-continuous lumbar cistern drainage and venous injection of antibiotics; 17 were cured by reforming-continuous lumbar subarachnoid drainage and injection of sensitive antibiotics into subarachnoid space or venous injection of antibiotics. There was no occurrence of complications such as herniation, deterioration of cranial infection and so on in all the patients. Twentyeight cases were healed（93.3%） ,2 ineffective（6.6%）. Conclusion Reforming-continuous lumbar subarachnoid drainage and injecting sensitive antibiotics into subarachnoid space is a safe and effective method to treat intracranial infection after the craniotomy.

关 键 词：持续腰大池引流 颅内感染 鞘内注射 

分 类 号：R657.11[医药卫生—外科学]