神经外科清洁伤口开颅术后并发严重颅内感染的治疗方法分析.docVIP

神经外科清洁伤口开颅术后并发严重颅内感染的治疗方法分析 　　[摘要] 目的 对神经外科清洁伤口开颅术后并?l严重颅内感染的治疗方法进行探究。方法 方便选取2014年9月―2016年9月该院神经外科实施开颅术后病发严重颅内感染的23例患者作为研究对象，给予所有患者抗感染治疗、冲洗、脑室外引流、全身营养支持、鞘内给药、腰穿以及并发症防治治疗，总结患者的恢复情况、残疾情况以及死亡情况。结果 以格拉斯哥预后评分作为评价治疗结果的依据，23例患者经治疗后，有15例患者恢复良好，恢复良好率为65.22%；有3例患者中度残疾，中度残疾率为13.04%；有2例患者重度残疾，重度残疾率为8.70%；有1例患者处于植物人状态，发生率为4.35%；有2例患者死亡，患者死亡率为8.70%。结论 给予神经外科开颅术后病发严重颅内感染的患者抗生素及其他治疗，患者的治愈率有明显提升，病死率也有所下降，值得在临床中应用。 　　[关键词] 神经外科；开颅；颅内感染；治疗 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0093-03 　　[Abstract] Objective To study the treatment method of severe cerebral infection after the craniotomy for clean wound in the department of neurosurgery. Methods 23 cases of patients with severe cerebral infection after the craniotomy for clean wound in the department of neurosurgery in this hospital from September 2014 to September 2016 were convenient selected and all patients adopted the anti-infection， washing， external ventricular drainage， general nutrition support， intrathecal administration and complication prevention and control treatment， and the recovery， disability and morality of patients were summarized. Results Of 23 cases after treatment， the Glasgow prognosis score showed that the recovery of 15 cases was good， and the recovery good rate was 65.22%， 3 cases were in moderate disable， accounting for 13.04%， 2 cases were in severe disable， accounting for 8.70%， and 1 case was in vegetative state， accounting for 4.35%， and 2 cases died， accounting for 8.70%. Conclusion The antibiotics and other treatment of patients with severe cerebral infection after the craniotomy for clean wound in the department of neurosurgery can obviously improve the cure rate and decrease the morality， and it is worth clinical application. 　　[Key words] Department of neurosurgery； Craniotomy； Intracranial infection； Treatment 　　临床治疗中，开颅术后最为常见的并发症就是颅内感染，在神经外科开颅手术后发生率可达到2%～18%左右，当患者的病情比较严重时，很难进行治疗，且预后效果不佳，所以，做好神经外科开颅术后严重颅内感染的治疗以及预防具有重要意义[1]。该文选取2014年9月―2016年9月该院神经外科实施开颅术后病发严重颅内感染的23例患者作为研究对象，现作如下分析