125例严重颅内感染的临床分析  

Clinical analysis of 125 cases severe intracranial infection

作　　者：马增路[1] 

机构地区：[1]河北省邢台市人民医院神经外科,河北邢台054001

出　　处：《中国现代医学杂志》2009年第22期3460-3462,3465,共4页China Journal of Modern Medicine

摘　　要：目的探讨神经外科严重颅内感染的致病因素、治疗方法及疗效。方法分析总结125例严重颅内感染患者全身应用抗生素并联合应用腰大池引流、脑室置管冲洗和鞘内给药等方法进行综合治疗的临床资料。结果125例患者中116例感染得到治愈,根据GOS预后评分:恢复良好61例、中残39例、重残11例、植物状态5例和死亡9例。结论严重颅内感染患者,全身应用敏感抗生素并采用鞘内给药、腰大池或脑室引流等方法可取得显著疗效,降低致残率和死亡率,提高患者生活质量。[ Objective ] To explore the pathogenic factors, treatement methods and effects of severe intracranial infection of patients with neurosurgieal disease. [Methods] The clinical data of 125 patients with serious intraeranial infection was analyzed, who were treated with antiseptic treatment, intratheeal jnjection, lumbar cistema drainage and cerebral ventricle underseouring. [Results] 125 patients were cured and 9 patients died. According to GOS score, 61 patients were recovered well, 39 patients moderately disabled, 11 patients severely disabled and 5 patients were vegetative state. [ Conclusion ] Patients with serious intraeranial infection can obtained better outcome after antiseptic treatment, intratheeal injection, lumbar cisterna drainage and cerebral ventricle underseouring were performed, can distinctly reduce mortality and deformity rate, and improve patients surviving and living ability.

关 键 词：颅内感染 致病因素 治疗方法 

分 类 号：R651.1[医药卫生—外科学]