7例鲍曼不动杆菌致颅内感染的临床特点及救治体会  

Clinical Features and Treatment Experience of Intracranial Infection Caused by Acinetobacter Bauman With 7 Cases

作　　者：袁波[1] 邢海涛[1] 应建有[1] 娄志刚[1] 段勇刚[1] 谭占国[1] 

机构地区：[1]漯河市中心医院神经外科,河南漯河462000

出　　处：《中国卫生标准管理》2016年第12期77-78,共2页China Health Standard Management

摘　　要：目的探讨开颅术后颅内鲍曼不动杆菌感染的临床特点和治疗。方法回顾分析7例开颅术后出现鲍曼不动杆菌颅内感染患者的临床资料,在确诊后应用美罗培南静脉注射,并同时行腰大池持续引流。结果 3例患者经抗感染治疗6 d^2周,平均(9.7±1.2)d,体温逐渐降至正常,脑脊液检查正常,另4例患者死亡,本研究治愈率42.9%,死亡率57.1%。结论早期足量应用美罗培南静脉注射,行腰大池持续引流是临床治疗颅内鲍曼不动杆菌感染有效、可行的方法。Objective To investigate the clinical characteristics and treatment of postoperative intracranial bauman acinetobacter infection. Methods Retrospective analysis of 7 cases of craniotomy after bowman does not move bacil us intracranial infection in patients with clinical data,diagnosis after application of intravenous meropenem,and at the same time,continuous lumbar cistern drainage. Results 3 cases were treated by anti infection treatment for 6 d to 2 weeks,with an average of（9.7＆#177;1.2）d,the temperature gradual y decreased to normal,normal cerebrospinal fluid examination,and the other 4 patients died,the cure rate was 42.9%,the mortality rate was 57.1%. Conclusion Early and adequate application of meropenem for intravenous injection,lumbar cistern continuous drainage is the clinical treatment of intracranial bauman acinetobacter infection is effective and feasible method.

关 键 词：鲍曼不动杆菌 颅内感染 腰大池引流 

分 类 号：R651[医药卫生—外科学]