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脑脓肿的诊断和治疗(附63例分析)
引用本文:林运全,陆四方. 脑脓肿的诊断和治疗(附63例分析)[J]. 广西医学, 2003, 25(8): 1356-1358
作者姓名:林运全  陆四方
作者单位:广东省汕头大学医学院第一附属医院神经外科,515041
摘    要:目的:探讨脑脓肿的诊断和治疗。方法:手术或药物治疗63例脑脓肿,手术治疗59例,药物治疗4例.其中单发脓肿s4例(85.7%),多发脓肿9例(14.3%);隐源性脑脓刖P27例(42.7%);56例(88.8%)出现癫痫发作和/或肢体瘫痪。结果:完全治愈47例(74.6%),好转13例(20.6%),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).完全切除脓肿是治疗本病的有效方法.

关 键 词:脑脓肿 头颅CT检查 抗生素 脓肿穿刺引流术 脓肿切除术

The diagnosis and treatment of brain abscess:Reports of 63 cases
Lin Yunquan,Lu Sifang The First Affiliated Hospital of Shantou University Medical College. The diagnosis and treatment of brain abscess:Reports of 63 cases[J]. Guangxi Medical Journal, 2003, 25(8): 1356-1358
Authors:Lin Yunquan  Lu Sifang The First Affiliated Hospital of Shantou University Medical College
Affiliation:Shantou 515041
Abstract: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
Keywords:Brain abscess  Diagnosis  Treatment
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