重型颅脑损伤继发颅内感染的临床特点分析

Clinical Analysis of Intracranial Infections Following Severe Craniocerebral Injury

目的分析重型颅脑损伤继发颅内感染的临床特点。方法选择2013年1月~2014年2月来我院治疗重型颅脑损伤的患者196例,调查重型颅脑损伤的患者继发颅内感染发生的各种因素。结果 196例患者中有41例（20.92%）患者继发颅内感染。脑脊液漏、进行脑室外引流、手术的部位、手术时间、清洁手术等均会导致继发颅内感染。结论重型颅脑损伤继发颅内感染的因素较多,临床医生在治疗时应做到防止脑脊液漏,无菌操作,缩短手术时间等,能有效的减少颅内继发感染。

Objective To analysis the clinical characteristics of intracranial infections following severe craniocerebral injury. Methods Selected 196 cases of severe craniocerebral injury patients from January 2013 to February 2014 in our hospital to investigate the various factors of secondary intracranial infection in patients with severe brain injury. Results There are 41 cases（20.92%） patients with secondary intracranial infection in 196 cases of patients.The secondary intracranial infection was related with cerebrospinal fluid leakage, conducted ventricular drainage, the site of surgery, surgical time, clean operation etc. Conclusion There are many factors that cause severe brain injury secondary to intracranial infection. Clinicians should prevent leakage of cerebrospinal fluid in the treatment, use aseptic techniques, shorten operation time and so on, so as to reduce effectively the secondary infection of the brain.