改良式腰大池置管持续外引流治疗术后颅内感染.pdfVIP

• 98 • 江西医学院学报 2009 年第 49 卷第 4 期 Acta Academiae Medicinae Jiangxi 2009. Vol 49.No 4 改良式腰大池置管持续外引流治疗术后颅内感染 虞露立1 ，万蟹l峰z ，划键民2 ，古金海2 (1.南昌大学研究生院医学部 2006 级; 2. 江西省人民医院神经外科，南岛 330006) 摘要2 目的 探讨改良式腹大池置管引流治疗术后颅内感染的疗效。方法 采用改良式持续腰大池宣管号|流治 疗术后颅内感染患者30 例.其中腰大池持续寻|流 13 例，腰大池号|流并鞠内注入敏感抗生素治疗 17 例。绵巢 30 例患者中 28 例(93.3%)痊愈出院，2 例(6.6%)无效。随访 3-6 个月，无颅内感染反反脑班等并发症发生。结论 改良式腹大池置管引流加销内注药，配合静脉应用敏感抗生索是治疗术后颅内感染一种安全、有效的方法. 关键调:持续腹大池苦If珑，颅肉也染z 鞠内注射 中圈分类号: R657.11 jt 献栋识码:A 文章编号: 1000-2294(2009)04-0098-03 Treatment of Postoperative Intracranial Infection by Reforming蛐Continuous Lumbar Subarachnoid Drainage 2 2 YU 1阶W. WAN Deng二fengZ. LIU Jian-min • GU Jin-hai (1. 2006 Grade of Medical Department of Graduate School.Nanchang University; 2. Department of Neurosurgery ,]iangxi People s Hospital.Nanchαng 330006 , China) ABSTRACT: Objective To evaluate the curative effect of reforming-continuous lumbar subarach- noid drainage on intracranial infection after the craniotomy. Methods The clinícal data of 30 pa- tients with intracranial infection. treated by reforming啕 continuous lumbar drainage in our depart- ment from May. 2005 to November 2008. were analyzed retrospectively. Of the 30 patients. 13 suffered from intracranial infection complicated by CSF leakage at the operative sites.12 from CSF rhinorrhea. and 5 only from intracranial infection. R创ults Thirteen patients were cured on- ly by reforming-continuous lumbar cistern drainage and venous injection of antibiotics; 17 were cured by reforming-continuous lumbar subarachnoid drainage and injection of sensitive antibiotics into subarachnoíd space or