42例脑脓肿临床分析  

42 case of brain Abscess patients treated were analyzed by a retrospective method

作　　者：邓发斌[1] 郭川[1] 徐荣华[1] 陈淳[1] 周宇[1] 刘跃辉[1] 

机构地区：[1]成都市第六人民医院神经外科,四川成都610051

出　　处：《四川医学》2010年第7期935-937,共3页Sichuan Medical Journal

摘　　要：目的探讨脑脓肿的病因及疗效。方法回顾分析1993～2009年我院42例脑脓肿患者的临床资料。结果 42例脑脓肿患者,耳源性16例(38.1%),隐源性12例(28.6%)、血源性9例(21.4%),颅脑术后2例(4.8%),外伤引起3例(7.1%)。头痛36例(85.7%),意识障碍5例(19.0%),不同程度肢体活动障碍17例(40.5%),癫痫发作15例(35.7%),发热12例(28.6%),其它7例(16.7%)。细菌培养阳性11例(36.7%),其中金黄色葡萄球菌4例(36.4%),链球菌2例(18.2%),大肠杆菌4例(36.4%),肺炎球菌1例(9.1%)。结论脑脓肿以血源性、耳源性居多,革兰阳性球菌是主要致病菌,临床表现以头痛为主。Objective To explore the etiopathogenisis and curative effect of A brain Abscess.Methods Clinical data of 42 brain Abscess patients treated in our hospital from 1993 to 2009 were analyzed by a retrospective method.Results These cases are consisted of 16 ear-derived（38.1%）,12 obscure（28.6%）,9 blood-borne（21.4%）,2 patients win postoperative（4.8%）,3 trauma-imduced（7.1%）,12 odscure（28.6%）,9 blood-bome（21.4%）,2 patients wits with postoperative（4.8%）,3 trauma-induced（7.1%）brain Abscess patients.Among them,36（85.7%） had headache,5（19.0%）disoriented,17（40.5%）had different degree of limbs disorder,15（35.7%）seizured,12（28.6%）had a fever,7（16.7%）had other syndromes.Bacterial culture was positive in 11（36.7%）cases,including 4（36.4%）cases of Staphylococcus aureus,2（18.2%）cases of Streptococcus,4（36.4%） cases of Bacillus coli,1（9.1%）cases of neumococcal.Conclusion Brain Abscess are mostly blood-borne and ear-derived,of which the pathogenic bacteria is mainly Gram-positive bacteria,and of which the syndrome is usually headache.

关 键 词：脑脓肿 临床特点 治疗 

分 类 号：R742.7[医药卫生—神经病学与精神病学]