| 颅后窝手术后感染原因分析及治疗 |
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| 引用本文： | 秦家振,李运军,戴宜武,张洪钿,罗永春.颅后窝手术后感染原因分析及治疗[J].中华神经外科疾病研究杂志,2011,10(4):353-355. |
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| 作者姓名： | 秦家振 李运军 戴宜武 张洪钿 罗永春 |
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| 作者单位： | 北京军区总医院神经外科,北京,100700 |
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| 摘 要： | 目的对颅后窝术后感染原因分析,为减少颅后窝手术后感染以及提高疗效提供一定的借鉴。方法对发生颅后窝术后颅内感染28例进行细菌培养,并运用敏感抗生素加腰穿置管持续脑脊液引流,部分病例进行小剂量抗生素鞘内注射。结果感染得到有效控制,患者痊愈者27例,占96.4%。1例患者因感染未能控制,最终全身衰竭死亡。结论颅后窝手术因有较多易致感染因素,较其他开颅手术更易导致术后感染。手术中严格无菌操作,缩短手术时间,减少明胶海绵、止血纱以及人工植入物的放置,严密缝合伤口,减少局部积液及脑脊液漏的发生等能减少术后感染的发生。正确应用抗生素,腰穿置管引流、鞘内注射抗生素等对控制颅内感染效果较好。
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| 关 键 词： | 颅后窝手术 术后感染 治疗 |
Causes and treatments of operative intracranial infections after posterior fossa craniotomy |
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| QIN Jiazhen,LI Yunjun,DAI Yiwu,ZHANG Hongdian,LUO Yongchun.Causes and treatments of operative intracranial infections after posterior fossa craniotomy[J].Chinese Journal of Neurosurgical Disease Research,2011,10(4):353-355. |
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| Authors: | QIN Jiazhen LI Yunjun DAI Yiwu ZHANG Hongdian LUO Yongchun |
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| Institution: | QIN Jiazhen,LI Yunjun,DAI Yiwu,ZHANG Hongdian,LUO Yongchun Department of Neurosurgery,Bejing General Hospital of PLA,Beijing 100700,China |
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| Abstract: | Objective To analyze the causes of intracranial infections after posterior fossa craniotomy in order to reduce the infection rate and increase the therapeutic effect.Methods Twenty-eight patients with intracranial infections after posterior fossa craniotomy were retrospectively analyzed.According to the results of culture and drug sensitivity tests,all the patients were treated with high dosage antibiotics and lumbar puncture drainage.Some patients were also received intrathecal injection.Results The intrac... |
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| Keywords: | Posterior fossa craniotomy Operative intracranial infections Treatment |
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