硬脑膜下脓肿一例报告并文献复习  

Subdural abscess: report of 1 case and literature review

作　　者：朱春明[1] 宋建明[1] 

机构地区：[1]江苏省淮安市淮阴医院神经外科,淮安223300

出　　处：《临床医学》2015年第10期29-30,共2页Clinical Medicine

摘　　要：目的探讨硬脑膜下脓肿的临床表现、诊断及治疗。方法报告淮安市淮阴医院收治的1例脑外伤术后并发硬脑膜下脓肿患者的临床治疗资料,结合文献复习,回顾性分析其临床表现、诊断及治疗。结果硬脑膜下脓肿是发生在硬脑膜下间隙的化脓性感染,常同时并发硬脑膜外脓肿,易误诊为硬脑膜下积液;手术术中及术后病理均证实为化脓性炎;主要经全身应用有效抗生素、手术脓肿清除治疗及并发症治疗。结论早期诊断、及时治疗,可以提高该病的治愈率,减少病死率。Objective To investigate the clinical manifestations,diagnosis and treatment of subdural abscess. Methods The clinical data of 1 patient with subdural abscess after operation of traumatic btain injury were reported. Furthermore,we searched the literature of subdural abscess and performed this retrospective analysis to investigate the clinical manifestations,diagnosis and treatment of subdural abscess. Results Subdural abscess was pyogenic infection occurred in subdural clearance and often concurs with epidural abscess. It was easily misdiagnosed as subdural effusion. However,the intra-operative and postoperative pathologies confirm that it was suppurative inflammation. The main treatment includes systemic application of effective antibitics,removeal of abscess by surgery treatment and management of complications. Conclusion Early diagnosis and timely treatment can improve the cure rate of the disease and reduce mortality.

关 键 词：硬脑膜下脓肿 化脓性感染 

分 类 号：R651.1[医药卫生—外科学]