神经外科术后颅内感染50例临床治疗观察  

Clinical Observation of 50 Cases of Intracranial Infection after Neurosurgery

作　　者：郭红伟 白鹏[2] 白霄 GUO Hong-wei BAI Peng BAI Xiao(Dept. of Neurosurgery, The Peopleo＇s Hospital of Mile, Mile Yunnan 652300 Dept. of Minimally Invasive Neurosurgery, The First Affiliated Hospital of Kunming Medical University, Kunming Yunnnan 650032, China)

机构地区：[1]弥勒市人民医院神经外科,云南弥勒652300 [2]昆明医科大学第一附属医院微创神经外科,云南昆明650032

出　　处：《昆明医科大学学报》2016年第7期114-116,共3页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2012C002)

摘　　要：目的探讨神经外科术后颅内感染的临床治疗效果.方法选取2014年1月至2015年1月来弥勒市人民医院进行神经外科手术治疗的50名术后颅内感染的患者作为本次的研究对象.其中25例患者采用静脉注射抗生素的治疗方式,15例患者采用鞘内以及静脉抗生素注射的治疗方式治疗,10例患者采用鞘内抗生素注射、静脉治疗以及腰大池置管引流的方式进行治疗,然后观察3组患者的临床治疗效果.结果 50例治疗患者中37例患者痊愈、8例患者显效、3例患者有效、2例患者治疗无效.结论对于神经外科进行手术的患者来说,要想最大可能地降低其颅内感染的几率,就要根据患者的实际情况来服用抗生素,然后根据感染程度的不同来制定不同的治疗方案.Objective To explore the clinical therapeutic effects of postoperative intracranial infection in neurosurgery. Methods Between January 2014 and January 2014, 50 patients with postoperative intracraniat infection in the department of neurosurgery in our hospital were selected in this study. Among the 50 patients, 25 patients were treated by intravenous antibiotic therapy, 15 patients were treated with intrathecal and intravenous antibiotics treatment, 10 cases were treated by intrathecal injection, intravenous antibiotics and lumbar pool catheter drainage way for treatment, and then we observed the clinical therapeutic effect of three groups of patients. Results In 50 patients, 37 patients were cured, 3 cases had marked effect, 8 patients had effect, 2 patients had no effect. Conclusion For patients with neurosurgical operations, to maximally reduce the risk of intracranial infection, it is necessary to take antibiotics according to the actual situation of patients, and make different treatment schemes according to the difference of infection.

关 键 词：神经外科 术后情况 颅内感染 临床治疗 效果研究 

分 类 号：R651.1[医药卫生—外科学]