颅脑术后颅内感染85例分析

目的探讨颅脑手术后颅内感染的原因与防治措施。方法回顾性分析1996-2006年2714例颅脑手术患者的有关临床资料。结果多种因素与颅内感染的发生有关。如无菌操作不严格、手术操作时间过长、引流管放置时间过长、引流管护理不当、不正确的脑室注药、切口脑脊液漏处理不当等，均为重要方面。结论严格的无菌操作、针对不同的易感因素采取相应的预防措施可减少术后颅内感染的发生，在全身使用大量有效抗生素的同时行鞘内或脑室内注药可获得满意疗效。

Analysis of 85 cases intracranial infection after brain operation

Objective To discuss the reason and method of preventive of intracranial infection after brain operation. Methods To review theclinical cases of 2714 patient with brain operation from 1996 to 2005 in our department. Results Multi-factors concern intracranial infectio-n such as unstrict aseptic operating , long operation time ,long time drainage duct lasting , unrigorous nursing, wrong way intracerebro-ve-nticular injection and postoperative CSF leakage, systemic use and intracerebroventicular injection of large dosage and effective antibi-otics can control infection remarkablely. Conclusion Strict aseptic operating,multi-method of preventive to different predisposing factor-s can reduce the rate of infection, systemic use and intracerebroven-ticular injection of large dosage and effective antibiotics can get satisfied curative effect.