颅脑损伤开颅术后严重感染37例临床分析.pdfVIP

. 606. J Apoplexv and Nervous Di盹酣时，Oclober 2仪)9 , Vol 26. No. 5 颅脑损伤开颅术后严重感染 37 例临床分析 常俊杰1 ， 李春辉2 摘堕: 目的探讨颅脑损伤手术后严重颅内感染的危险因素、治疗方法及疗效。方法 总结颅脑损伤黯 者手术后严重颅内感染37 例，在全身应用抗生素的同时，分别进行了鞠内给药、腰大地引流、脚京辈辈管冲洗等治 疗。结果 37 例患者中34 例感染得到治愈，根据格拉斯哥(GOS) 预脂评分:桶物状态5 例，熏残 10 例，中残 13 例，恢复良好6 例。 17 例出现腼积水，3 例死亡。结论 对于严重颅内感染患者，在全身应用敏感抗生素的前提 下，采用鞠内给药、脚大池~脑室引流等方齿可取得较好的疗艘。 关键词: 颅脑损伤; 开颅术; 感染; 珍断: 治疗 中固分提号:民.65 1. 1 +5 文献标识码:A CUnical anaIysis on intracraniaJ severe infection after cra刷刷rebra1 i咖ηoperation CHANG Jun忡， U Chun-hui. (Depart 11lRnt 0/ Neurosurgery ，-1伊liated Hospital 0/Hebei Univers时， Shijiaz也oong 071仪泊， Chinα) Ab宙:tract: Obj仅tive To explore the risk facto胞，treatment melhods and effects of serious intracranial infection after undergoing operation of craniocerebral injury patien肌 Meth耐s ,!;he clinical data of 37 cranioι:erebral injury patients were summerized ,who were dia伊JOsed as intracranial infeion after undergoing operation. In addition of antiseptic treatment , íntrathecal injection ,lumbar cístema drainage and cerebral ventricle under窗couring were perfonned. Results 34 巳幽幽 were cured and 3 cωes díed. According 10 GOS score ,6 cases were recover时 well ， 13 moderately disabled , 10 severely disabled and 5 were in vegetalive state. Hydrocephaly wωappeared in 17 cωes. Conclusion In patients of severe intracranial in- f创tion ， it ωuld obtain beUer outcome afler intrathecal injection ,lumbar cistema drainage and ce陀bral ventricle underscour.… ing were perfonned in addition of sensitive anti自叩lic trealment. Key words: Craniocerebral injury; Craniotomy; lnfection j Di鸣nosisj Trealment 开颅手术后顺内感染是一种严寰的医院感染， 37 例入选。术后颅内感染发生的时间为术后3 时