脑脓肿的诊断和治疗(附63例分析)

The diagnosis and treatment of brain abscess:Reports of 63 cases

目的 :探讨脑脓肿的诊断和治疗。方法 :手术或药物治疗 6 3例脑脓肿 ,手术治疗 5 9例 ,药物治疗 4例。其中单发脓肿 5 4例 (85 .7% ) ,多发脓肿 9例 (14 .3% ) ;隐源性脑脓肿 2 7例 (4 2 .7% ) ;5 6例 (88.8% )出现癫痫发作和 /或肢体瘫痪。结果 :完全治愈4 7例 (74 .6 % ) ,好转 13例 (2 0 .6 % ) ,死亡 3例 (4 .8% )。结论 :神经影像学检查为诊断脑脓肿的主要手段 (首选颅脑 CT扫描 )。

Objective:To discuss the diagnosis and treatment of brain abscess Methods:63 patients with brain abscess were treated with neurosurgical operation or medical therapy:neurosurgical operation(79 cases),medical treatment(4 cases).There were 54 cases of mono abscess and 9 cases of multiple lesions.27 cases with no source.56 cases with seizures and/or paralysis Results:47(74 6%) cases were complete recovery.13(20 6%) patients were took a turn for the better.3 cases (4 8%) were died Conclusion:Neuroradiological examination is the main method of diagnosis of brain abcess (preferred to Cerebral CT scan).Complete excision is an effective method for treating this disease