脑室腹腔分流术后颅内感染的治疗时机与方法

Timing and Method for the Treatment of Intracranial Infection After Ventriculo-peritoneal Shunt

目的探讨脑室腹腔分流术后颅内感染的治疗时机及具体方法。方法总结黄石市二医院15例脑室腹腔分流术后感染患者的治疗经验,分析治疗效果。结果本组15例患者,确诊感染后立即拔出分流管,且拔管后4例行脑室外引流,11例行腰椎置管引流,经过以上治疗,患者体温下降,脑脊液常规很快恢复正常。结论脑室腹腔分流术后发生感染,应在确诊后的第一时间拔除原有引流管,并根据患者情况选择腰椎穿刺置管或脑室置管,通过引流管和静脉两组途径联合使用敏感抗生素,可有效提高临床疗效。

Objective To study the timing and method for the treatment of intracranial infection after ventriculo-peritoneal shunt. Methods We summarized the treatment experiences of 15 patients with intracranial infection after ventriculo-peritoneal shunt,and the therapeutic efficacy was analyzed. Results All the 15 patients were extubated after intracranial infection,moreover,4 patients received external ventricular drainage and 11 patients were inserted lumbar drain catheter.After the treatment,the patients＇ temperature had dropped and the cerebrospinal fluid was normal. Conclusions The original drainage tube should be pulled out at the first time when ventriculo-peritoneal shunt infection is diagnosed,and moreover,lumbar puncture or intraventricular catheter should be chosen according to the patient＇s condition.And the clinical therapeutic efficacy could be improved effectively through the combined use of sensitive antibiotics by drainage tube and intravenous infusion.