继发性腰椎间隙感染合并肺脓肿的救治

The Cure of Secondary Cases Interspace of Lumbar Vertebrae Infection Complicated Pulmonary Abscess

目的探讨亚胺培南/西司他丁与替考拉宁联合应用治疗腰椎间隙感染后败血症合并肺脓肿的疗效以及继发性腰椎间隙感染的发病特点、诊断及防治方法。方法通过对1例小针刀治疗腰椎间盘突出后导致重度腰椎间隙感染合并血源性肺脓肿患者的成功救治进行回顾性总结分析。结果无菌观念不严格、介入性操作不规范、手术时间长、术中组织损伤多、患者基础条件差、糖尿病、应用糖皮质激素、术后抗炎不足等因素有关;患者术后3 d腰腿痛加剧,高热,血沉增快,C-反应蛋白增高。结论严格无菌观念,充分术前准备,术中操作规范减少损伤可减少腰椎间隙感染的发生。

OBJECTIVE Research the therapeutic effectiveness of combination Imipenem and teicoplanin to treat septicemia due to interspace of lumbar vertebrae Infection complicated pulmonary abscess and the method of diagnosis, prevention and cure of Secondary interspace of lumbar vertebrae Infection. METHODS The successful cure case-report that severe postoperative interspace of lumbar vertebrae infection complicated blood-borne pulmonary abscess used small needle knife to treat Lumbar intervertebral disc protrusion （LIDP） were reviewed. RESULTS Unstandard asepsis technique and invasive operation long time operation, too mang damage of tissue in operation, patient weak, diabetes, glucocorticoid,lacking postoperative anti infection therapy etc. Lumbocrural pain were found aggravated, high fever, blood sedimentation increased, CRP heightened. CONCLUSIONS Strict asepsis,sufficient preoperotive preparation, Standard operation, less damage, can reduce interspace of lumbar vertebrae infection rate. Strict asepsis and less damage in the operation can reduce the incidence of intervertebral disc space infection.