动脉瘤夹闭术后颅内感染临床分析  

Clinical analysis of intracranial infection after aneurysm clipping operation

作　　者：王康 黄戈[1] 李小辉[1] 李智斌[1] WANG Kang;HUANG Ge;LI Xiaohui;LI Zhibin(Jiangmen Central Hospital,Jiangmen 529000,China)

机构地区：[1]江门市中心医院

出　　处：《中国实用神经疾病杂志》2019年第12期1298-1302,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 探讨颅内动脉瘤夹闭术后颅内感染相关因素、治疗及预后。方法 回顾性分析江门市中心医院2015-08—2018-05动脉瘤夹闭术后合并颅内感染25例患者的临床资料,选择同期接受动脉瘤开颅术但未发生颅内感染的92例患者为对照组。结果 24例感染得到治愈,17例合并继发性脑积水,10例行脑室腹腔分流术,1例死亡。结论 动脉瘤夹闭术后颅内感染与患者术前状态、急诊手术、手术时间、脑脊液漏、抗生素使用不合理、术后放置外引流等多因素有关,早期、规范的抗感染治疗加上有效脑脊液引流是控制颅内感染的有效方法。Objective To investigate the risk factors,treatment and prognosis of intracranial infection after aneurysm clipping operation. Methods Retrospective analysis of 25 patients with intracranial infection after aneurysm occlusion from August 2015 to May 2018,92 patients received aneurysm craniotomy but without intracranial infection were selected as control groups. Results 24 cases of infection were cured,17 cases were combined with secondary hydrocephalus,10 cases were performed ventricle peritoneal shunt,and 1 patient died. Conclusion Intracranial infection after aneurysm occlusion is related to many factors such as preoperative status,emergency surgery,operation time,cerebrospinal fluid leakage,irrational use of antibiotics,and placement of external drainage after surgery.Early and standardized anti infection treatment plus effective cerebrospinal fluid drainage is an effective method to control intracranial infection.

关 键 词：颅内动脉瘤 动脉瘤夹闭术 颅内感染 抗感染 脑脊液引流 

分 类 号：R743[医药卫生—神经病学与精神病学]