脑室外引流相关感染预防的相关问题探讨

Discussion on prevention of external ventricular drainage-associated infection

脑室外引流(EVD)是神经外科常用的一种治疗措施,EVD相关感染是非常严重的并发症。如何优化置管和术后管理以减少EVD相关感染,是临床面临的难题。笔者从EVD相关感染的发病机制、EVD的术前准备及手术过程、引流管的固定及维护、护理、预防性使用抗生素、患者疾病状态等方面进行阐述,为更好降低EVD相关感染提供参考。

External ventricular drainage(EVD)is a common treatment method in neurosurgery.EVD-associated infections are severe complications of EVD catheterization.How to optimize catheterization and postoperative management to reduce EVD-associated infections remains a difficult clinical issue.In this article,the pathogenesis of EVD-associated infection,preoperative preparation and surgical process of EVD,fixation and maintenance of drainage tubes,nursing,preventive use of antibiotics,and disease status of patients are expounded,so as to provide reference for better reducing EVD-associated infections.