开颅手术后继发颅内感染的危险因素和治疗方法  

Risk Factors and Treatment of Intracranial Infection After Craniotomy Operation

作　　者：高川[1] 

机构地区：[1]辽宁省沈阳市苏家屯区中心医院脑外科,110101

出　　处：《中国继续医学教育》2015年第1期46-47,共2页China Continuing Medical Education

摘　　要：目的研究开颅手术后继发颅内感染的危险因素和治疗方法。方法选择我院930例进行开颅手术患者,有28例出现颅内感染,分析其颅内感染的危险因素以及治疗方法。结果在颅内感染的危险因素中,幕下开颅术和显微手术出现颅内感染的患者所占比例较高。在28例颅内感染患者中,有10例使用万古霉素和头孢他啶进行治疗,疗效最好。结论开颅手术后出现颅内感染的危险因素有幕下开颅术、显微手术、手术时长以及颅内引流管的停留时长。有效的治疗方法是选择适合患者的进行抗生素治疗。ObjectiveTo study the risk factors and treatment methods of secondary intracranial infection after surgical operation.MethodsSelected 930 patients with surgical operation patients, 28 cases with intracranial infection and to analyze its risk factors and treatment methods of intracranial infection. ResultsAmong the risk factors of intracranial infection, the tent of meeting under the open-brain surgery and microsurgery in higher proportion of patients with intracranial infection. In 28 cases of intracranial infection patients, 10 cases of the use of vancomycin and cefazolin totally treatment, curative effect was best.ConclusionThe risk factors of intracranial infection after craniotomy surgery include the tentorium open-brain surgery, microsurgery, operation time and stay of intracerebral drainage tube length. Effective treatment is to choose the suitable antibiotics to treat patients.

关 键 词：开颅手术 颅内感染 危险因素 治疗方法 

分 类 号：R651.1[医药卫生—外科学]