期刊文献+

后颅窝手术后颅内感染12例分析 被引量:5

Analysis of 12 cases of intracranial infection after posterior craniotomy
下载PDF
导出
摘要 目的探讨后颅窝手术后并发颅内感染特点及防治方法。方法对2006-01—2011-12在我院神经外科接受后颅窝开颅手术93例患者中术后并发颅内感染12例的临床资料进行回顾性分析。结果颅内感染12例患者经过综合治疗后11例痊愈,1例死亡。结论后颅窝手术后容易并发颅内感染,一旦发生颅内感染,应早期采取腰大池引流、敏感抗生素静滴、鞘内给药、激素、营养支持等综合治疗措施。 Objective To explore the features and treatment of intracranial infection after posterior fossa surgery.Methods The clinical data of 12 cases with intracranial infection from January 2006 to December 2011,93 cases of posterior fossa craniotomy in the hospital neurosurgery were retrospectively analyzed.Results 12 cases of patients with intracranial infection after a comprehensive treatment of 11 cases cured,1 patient died.Conclusion The posterior fossa surgery easily be complicated by intracranial infection,intracranial infection,should take a lumbar drainage sensitive antibiotic intravenous,intrathecal administration,hormonal,nutritional support and treatment measures as early as possible.
机构地区 解放军第
出处 《中国实用神经疾病杂志》 2012年第23期20-21,共2页 Chinese Journal of Practical Nervous Diseases
关键词 后颅窝手术 颅内感染 防治措施 Posterior fossa craniotomy Intracranial infection Prevention and control
  • 相关文献

参考文献7

  • 1Kourbeti IS, Jacobs AV, Koslow M, et al. Risk factors associ- ated with postcraniotomy meningitis[J]. Neurosurgery, 2007, 60(2) : 317-325.
  • 2王林甫,李良芳,金彩辉.后颅窝肿瘤切除术后并发颅内感染的治疗[J].中国临床神经外科杂志,2011,16(6):366-367. 被引量:19
  • 3Martin-canal G, Saavedra A, Asensi JM, et al. Meropenem monotherapy is as effective as and salter than imipenem to treat brain abscesses [J]. Intern J Antimicrobial Agents, 2010, 35(3): 227 234.
  • 4Tunkel AR, Harman BJ, Kaplan SL, et al. Practice guidelines for the management of bacterial meningitis[J]. Clin Infec Dis, 2004, 39(1):1 267-1 284.
  • 5秦家振,李运军,戴宜武,张洪钿,罗永春.颅后窝手术后感染原因分析及治疗[J].中华神经外科疾病研究杂志,2011,10(4):353-355. 被引量:30
  • 6Bolmsteclt GC. Infections in neurosurgery: A retrospective study of 1143 patients and 1517 operations [J]. Acta Neuro- chit, 1985, 78 (24):81-90.
  • 7Friedman JA, Ebersold MJ, Ouast LM. Post tramatic cerebro- spinal fluid leakage [J].Word J Surg, 2003, 25 (8):1 062-1 066.

二级参考文献15

  • 1王晓红,靳桂明,吴笑春.成人肺部感染患者健康等级及住院费用Logistic回归分析[J].中华医院感染学杂志,2004,14(11):1229-1231. 被引量:11
  • 2李文胜,郭英,王辉,梁潮峰,龚瑾.静脉及鞘内联合用药治疗脑室外引流术后颅内感染[J].中华神经医学杂志,2006,5(10):1048-1049. 被引量:9
  • 3靳桂明,董玉梅,余爱荣,张瞿璐.开颅手术后颅内感染流行病学调查的荟萃分析[J].中国临床神经外科杂志,2007,12(3):149-151. 被引量:91
  • 4Tunkel AR, Harman BJ, Kaplan SL, et al. Practice guidelines for the management of bacterial meningitis [ J~. Clin lnfec Dis, 2004, 39 (9) : 1267 - 1284.
  • 5Coplin WM, AveUino AM, Kim DK, et al. Bacterial meningitis associated with lumbar drains: a retrospective cohort study [ J ]. J Neurol Neurosurg Psychiatry, 1999; 67(4) : 468 -473.
  • 6Friedman JA, Ebersold MJ, Quast LM. Posttramatic cerebrospinalfluid leakage [J], Word J Surg, 2003, 25(8): 1062-1066.
  • 7Bayston R, Hart CA, Barnicoat M. Intraventricular vancomycin in the treatment of ventriculitis associated with cerebrospinal fluid shunting and drainage [J]. Neurol Neurosurg Psychiatry, 1987, 50( 11 ) : 1419 - 1423.
  • 8Boque MC, Bodi M, Rello J. Head injury and neurosurgery infections [J]. Semin Respir Infect, 2000, 15(4) : 280 -286.
  • 9Pfausler B, Spiss H, Beer R, et al. Treatment of staphylococcal ventriculitis associated with external cerebrospinal fluid drains: a prospective randomized trial of intravenous compared with intraventricular vancomycin therapy [ J ]. J Neurosurg, 2003, 98 ( 5 ) : 1040 - 1044.
  • 10Lasser EC, Lamkin GE. Effects of intrathecal injection of diatrizoate on dopamine receptors [ J]. Acad Radiol, 2002, 9 (7) : 826 - 829.

共引文献42

同被引文献55

  • 1周忠清,郑今兰,张劲松,刘荣,石祥恩.开颅术后颅内感染的诊断与治疗[J].中华医院感染学杂志,2005,15(4):402-404. 被引量:47
  • 2侯铁英,江飞舟,梁敏.颅脑手术术后医院感染分析[J].中华医院感染学杂志,2005,15(7):759-761. 被引量:14
  • 3靳桂明,董玉梅,余爱荣,张瞿璐.开颅手术后颅内感染流行病学调查的荟萃分析[J].中国临床神经外科杂志,2007,12(3):149-151. 被引量:91
  • 4胡必杰,葛茂军,关素敏.手术部位感染预防与控制最佳实践[M].上海:上海科学技术出版社,2012:45-57.
  • 5Sidaway P. Infection: Exposure to human urine decreases type 1 pili expression in uropathogenie Escherichia coli [J]. Nat Rev Uroi,201S,12(8) :422.
  • 6Jones RN. Impact of changing pathogens and antimicrobial sus- ceptibility patterns in the treatrIlent of serious infections in hospi- talized patients[J]. AmJ Med,1996, 100(6A):3S--12S.
  • 7Mah TF,Pitts B, Pellock B,et al. A genetic basis for Pseudo monas aeruginosa biofilm antibiotic resistance[J]. Nature,2003, 426(6964) :306--10.
  • 8Li XZ, Zhang L, Poole K. Interplay between the MexA-MexB- OprM multidrug efflux system and the outer membrane barrier in the multiple antibiotic resistance of Pseudomonas aeruginosa [J]. J Antimicrob Chemother, 2000,45 (4) : 433 -- 6.
  • 9Linden PK, Kusne S, Coley K, et al. Use of parenteral colistin for the treatment of serious infection due to antimicrobial-resistant Pseudomonas ueruginosa [J:. Clin Infect Dis, 2003,37 ( 11 ) : e154 60.
  • 10Karlowsky JA,Jones ME,Thornsberry C,et al. Stable antimi crobial susceptibility rates for clinical isolates of Pseudomonas aeruginosa from the 2001--2003 tracking resistance in the United States today surveillance studies [J]. Clin Infect Dis, 2005, 40 (Suppl 2) ,$89--98.

引证文献5

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部