颅脑手术后合并颅内感染30例诊治体会及预防措施

Experience on Diagnosis and Treatment and Preventive Measures of 30 cases Complicated with Intracranial Infection after Craniocerebral Operation

[目的]探讨神经外科手术后颅内感染的相关高危因素。[方法]分析2003年至2008年在我科治疗神经外科手术后发生颅内感染30例患者的临床资料,对其导致感染的各项可能因素进行分析。[结果]显示颅脑术后的颅内感染与手术持续时间、脑脊液漏、脑室外引流、放置外引流管、开放性颅脑损伤等有关。[结论]应尽量缩短手术时间,严密缝合硬脑膜防止脑脊液漏,严格掌握脑室外引流时间,尽可能减少颅脑术后患者各种引流管的放置以及留置时间等,可以减少颅脑术后颅内感染的发生。

[Objective]To study the risk factors of neurosurgical postoperative intracranial infection, [Methods]Analyse 30 cases of intracranial infection after the neurosurgery operation from 2003 to 2008 in our department. [Results]The intracranial infections after craniocerebral operation is related to the operation duration, cerebrospinal fluid leakage, external ventricular drainage,laying the drainage-tube,open craniocerebral injury. [Conclusion] To shorten the operation time as long as possible, tighten dural closure to prevent leakage of cerebrospinal fluid, with strict control of the indwelling time, reduce the number of drainage-tube and shorten indwelling time after neurosurgery operation as possible as we can,can reduce the possibility of intracranial infection after neurosurgery operation.