腰部软组织脓肿继发椎管内硬膜外脓肿致脓毒血症及双下肢神经功能恶化一例报道  

Sepsis and deterioration of nerve functions of both lower limbs after intraspinal epidural abscess secondary to lumbar soft tissue abscess:a case report

作　　者：王圣轩 徐强 周晓倩 吴建军 WANG Sheng-xuan;XU Qiang;ZHOU Xiao-qian;WU Jian-jun(Department of Spinal Surgery,Fuzhou Second Hospital Affiliated to Xiamen University,Fuzhou,Fujian,350007,China)

机构地区：[1]厦门大学附属福州第二医院脊柱外科,福州350007 [2]福建中医药大学,福州350122

出　　处：《中国骨与关节杂志》2020年第11期873-876,共4页Chinese Journal of Bone and Joint

摘　　要：脊髓硬膜外脓肿(spinal epidural abscess,SEA)是硬脊膜外间隙的化脓性感染,由于大量脓液积聚及肉芽组织增生导致脊髓受压,致残率较高。患者发病后病情发展迅速,短期内硬脊膜外可积聚大量脓液,使脊髓受压,以致出现神经功能障碍,甚至截瘫[1]。Objective To explore the treatment strategy of sepsis caused by spinal epidural abscess and nerve function deterioration of lower extremities.Methods Diagnosis and treatment of 1 case with sepsis after lumbar soft tissue abscess secondary to spinal epidural abscess and nerve function deterioration of lower extremities were retrospectively analyzed.Results Incision and drainage of lumbar posterolateral lumbar spinal abscess+lumbar spinal decompression(L|_2,L4.5)+flushing and drainage+sensitive antibiotics were effective.Conclusions Intraspinal abscess and neurological symptoms would be seen after infection,debridement and low immunity.Neurological symptoms are signals for immediate surgery.Minimally invasive decompression combined with sensitive antibiotics without damaging spine stability will achieve satisfactory effects.

关 键 词：脊柱疾病 脓肿 金黄色葡萄球菌 脓毒症 糖尿病 

分 类 号：R681.5[医药卫生—骨科学]