腰池置管脑脊液外引流治疗颅内感染临床分析  

Clinical Analysis of Lumbar Cistern External Drainage for Intracranial Infection

作　　者：秦涛 周仲明 

机构地区：[1]宜兴市第二人民医院神经外科,江苏宜兴214200

出　　处：《中国继续医学教育》2016年第34期100-101,共2页China Continuing Medical Education

摘　　要：目的探讨腰池置管脑脊液外引流治疗颅内感染的临床效果。方法选取2010年1月~2013年12月25例颅内感染患者作为研究对象,所有患者均接受腰池置管脑脊液外引流治疗。结果治疗后患者的体温（36.78±1.03）℃、白细胞计数（9.26±2.17）×10~9/L、脑脊液有核细胞计数（31.59±10.83）×10~6/L、微量蛋白浓度（0.96±0.71）g/L,相比于治疗前（38.56±1.27）℃、（12.89±2.84）×109/L、（148.27±74.67）×10~6/L、（2.85±1.34）g/L均降低（P〈0.05）,脑脊液葡萄糖浓度（3.39±1.25）mmol/L、氯化物浓度（123.72±8.46）mmol/L相比于治疗前（2.23±1.04）mmol/L、（114.56±7.95）mmol/L均明显增高（P〈0.05）。结论对颅内感染患者采取腰池置管脑脊液外引流治疗,可有效缓解颅内感染症状,改善脑脊液情况。Objective To investigate the clinical effect of lumbar cistern external drainage on intracranial infection. Methods Selected 25 patients with intracranial infection from January 2010 to December 2013 as the research object,all patients were treated with external drainage of cerebrospinal fluid through lumbar cistern catheter placement in patients. Results The body temperature of patients after treatment（36.78±1.03） ℃,white blood cell count（9.26±2.17）×109/L,cerebrospinal fluid nucleated cell count（31.59±10.83）×106/L,trace protein concentration（0.96±0.71） g/L,compared with before treatment（38.56±1.27）℃,（12.89 ＋ 2.84）×109/L and（148.27±74.67）×106/L,（2.85±1.34）g/L decreased（P〈0.05）,cerebrospinal fluid glucose concentration（3.39±1.25） mmol/L,chloride concentration（123.72±8.46） mmol/L compared with before treatment（2.23±1.04） mmol/L（114.56±7.95） mmol/L were significantly increased（P〈0.05）. Conclusion The treatment of intracranial infection with lumbar cistern external drainage can effectively relieve intracranial infection symptoms and improve cerebrospinal fluid.

关 键 词：颅内感染 腰池置管 脑脊液外引流 

分 类 号：R749.1[医药卫生—神经病学与精神病学]