输液调节器控制腰大池持续引流治疗颅内感染50例

Precision infusion set control continuous lumbar cistern drainage in the treatment of 50 cases of intracranial infection

目的：探讨持续腰大池应用输液调节器控制引流治疗开颅术后颅内感染及切口愈合不良脑脊液漏的疗效。方法回顾性分析2008年10月-2013年10月经持续腰大池加输液调节器控制脑脊液引流治疗的50例术后颅内感染及脑脊液漏患者的临床资料。结果50例患者中颅脑外伤开颅去骨瓣减压术后切口愈合不良脑脊液漏20例，高血压脑出血去骨瓣减压术后皮瓣下积液伴脑脊液漏20例，所有患者均痊愈出院。结论颅内感染及脑脊液漏应用持续腰大池加输液调节器控制引流脑脊液，配合全身应用敏感抗生素是治疗术后手术切口愈合不良脑脊液漏及颅内感染的一种安全、良好的方法。

Objective To study the clinical effect of continuous lumbar cistern using precision infusion set control and drainage of intracranial infection after craniotomy with Incision healing bad cerebrospinal fluid leakage. Methods From October 2008 to October 2013, 50 cases of postoperative intracranial infection and cerebrospinal fluid leakage patients using continuous lumbar cistern with precision infusion set control cerebrospinal fluid drainage were retrospectively analyzed. Results These 50 patients,after traumatic brain injury after decompressive craniectomy with the poor wound healing 20 cases of cerebrospinal fluid leakage , decompressive craniectomy in hypertensive intracerebral hemorrhage with hydrops under skin flap with 20 cases of cerebrospinal fluid leakage ,all patients recovered and were discharged from the hospital. Conclusion Intracranial infection and cerebrospinal fluid leakage using continuous lumbar cistern with precision infusion set drainage of cerebrospinal fluid ,with systemic application of antibiotics to treatment of post-operative cerebrospinal fluid leakage operation incision heali is a method for safety , good intracranial infection.