后颅窝手术后颅内感染的防治分析  

Risk factors relate to intracranial infection and its treatment after selective posterior fossa surgery

作　　者：王荆夫[1] 庄顺福[1] 蔡维平[1] 易海波[1] 张小锋[1] 林瑞生[1] 李榕[1] 

机构地区：[1]福建医科大学附属漳州市医院神经外科,福建363000

出　　处：《中国临床神经外科杂志》2014年第9期524-526,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨后颅窝手术后颅内感染的易感因素及防治措施。方法回顾性分析对我科2005年6月至2013年6月后颅窝手术后继发生颅内感染的28例患者的临床资料。皮肤切开前应用抗生素,手术时间〉4 h者加用1次,术毕用生理盐水250ml＋注射液万古霉素500 mg反复冲洗;全部患者采用全身用抗生素＋脑脊液引流＋鞘内应用抗生素治疗。结果 28例患者颅内感染时间发生在开颅术后3～14 d。27例颅内感染在6周内得到有效控制,1例自动出院。结论后颅窝手术术后容易并发颅内感染,采用全身用抗生素＋脑脊液引流＋鞘内应用抗生素是一种治疗后颅窝手术术后并发颅内感染的有效方法。Objective To explore the factors relate to intracranial infection after the posterior fossa surgery and its treatmen Methods The clinical data of 356 patients undergoing the selective posterior fossa surgery from June, 2005 to June, 2013, of whom, 2had intracranial infection and 328 not, were analyzed retrospectively. All the patients with intracranial infection were treated by th intravenous infusion of the antibiotics, drainage of cerebrospinal fluid and intrathecal injection of the antibiotics.Results Th intracranial infection occurred from 3 to 14 days after the posterior fossa surgery in 28 patients. Of 28 patients with intracranial infection27 were cured within 6 weeks after the infection and 1 gave up treatment voluntarily.Conclusions The intracranial infection easil occurs in the patients undergoing the posterior fossa surgery. The curative effect of intravenous infusion and intrathecal injection o antibiotics and drainage of cerebrospinal fluid on the intracranial infection after the posterior fossa surgery is good.

关 键 词：后颅窝病变 手术 颅内感染 治疗 

分 类 号：R651.11[医药卫生—外科学] R619[医药卫生—临床医学]