开颅术后并发严重颅内感染的临床分析  

Severe Intracranial Infection after-craniotomy:A Clinical Analysis

作　　者：周开宇[1] 王广涛[1] 罗永康[1] 金杭煌[1] 

机构地区：[1]台州学院附属台州市立医院神经外科,浙江台州318000

出　　处：《中华医院感染学杂志》2010年第13期1877-1878,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨神经外科手术后并发颅内感染的防治。方法回顾性分析2000年1月-2009年2月35例神经外科开颅术后并发颅内感染患者的资料;采取抗感染、脑室外引流及冲洗、腰穿及鞘内给药、全身营养支持治疗、防治并发症等治疗措施。结果 35例发生颅内感染,其感染率为2.38%,3例死亡,死亡率8.57%,32例存活者随访2-3个月,均未见治愈的炎症复发。结论合理有效的抗菌药物结合其他综合治疗措施,能有效地提高开颅术后严重颅内感染的治愈率,降低病死率。OBJECTIVE To explore the complications and countermeasures of severe intracranial infection after-craniotomy.METHODS A retrospective analysis of all 35 cases in neurosurgery（from Jan 2000 to Feb 2009） with severe intracranial infection after-craniotomy was reported.The anti-infection,external ventricular drainage and washing,lumbar puncture and intrathecal administration,general nutritional and support therapy,and prevention of complications were taken.RESULTS Thirty-five cases out of 1471 cases had postoperative intracranial infection,the infection rate was 2.38%,3 cases died,and the fatality rate was 8.57%,and the survival 32 cases were followed up for 2-3 months,there was no case with recurrence of cured inflammation.CONCLUSION Reasonable and effective anti-infection with other combined treatment measures can improve the cure rate of severe intracranial infection after-craniotomy and reduce the mortality.

关 键 词：神经外科 开颅术后 颅内感染 治疗 

分 类 号：R181.32[医药卫生—流行病学]