颅脑损伤开颅术后严重感染37例临床分析  

Clinical analysis on intracranial severe infection after craniocerebral injury operation

作　　者：常俊杰 李春辉[2] 

机构地区：[1]河北省定兴县医院神经外科,河北定兴072650 [2]河北大学附属医院神经外科,河北保定071000

出　　处：《中风与神经疾病杂志》2009年第5期606-608,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨颅脑损伤手术后严重颅内感染的危险因素、治疗方法及疗效。方法总结颅脑损伤患者手术后严重颅内感染37例,在全身应用抗生素的同时,分别进行了鞘内给药、腰大池引流、脑室置管冲洗等治疗。结果37例患者中34例感染得到治愈,根据格拉斯哥(GOS)预后评分:植物状态5例,重残10例,中残13例,恢复良好6例。17例出现脑积水,3例死亡。结论对于严重颅内感染患者,在全身应用敏感抗生素的前提下,采用鞘内给药、腰大池或脑室引流等方法可取得较好的疗效。Objective To explore the risk factors, treatment methods and effects of serious intracranial infection after undergoing operation of craniocerebral injury patients. Methods The clinical data of 37 craniocerebral injury patients were summerized, who were diagnosed as intracranial infeion after undergoing operation. In addition of antiseptic treatment, intrathecal injection,lumbar cistema drainage and cerebral ventricle underscouring were performed. Results 34 cases were cured and 3 cases died. According to GOS score,6 cases were recovered well, 13 moderately disabled, 10 severely disabled and 5 were in vegetative state. Hydrocephaly was appeared in 17 cases. Conclusion In patients of severe intracranial infection, it could obtain better outcome after intrathecal injection,lumbar cistema drainage and cerebral ventricle underscouring were performed in addition of sensitive antiseptic treatment.

关 键 词：颅脑损伤 开颅术 感染 诊断 治疗 

分 类 号：R651.15[医药卫生—外科学]