| 分流手术治疗新型隐球菌性脑膜炎的体会与文献回顾 |
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| 引用本文： | 赵杰,刘景平,张治平,李建,肖格磊,廖新斌,金晨,刘瑛. 分流手术治疗新型隐球菌性脑膜炎的体会与文献回顾[J]. 中南大学学报(医学版), 2016, 41(5): 541-547. DOI: 10.11817/j.issn.1672-7347.2016.05.015 |
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| 作者姓名： | 赵杰 刘景平 张治平 李建 肖格磊 廖新斌 金晨 刘瑛 |
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| 作者单位： | 中南大学 1. 湘雅医院神经外科，长沙 410008；2. 湘雅医学院病理生理学系，长沙 410078 |
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| 摘 要： | 目的：探讨分流手术在新型隐球菌脑膜炎患者治疗中的时机并评价其疗效。方法：回顾性分析7例采取分流手术治疗新型隐球菌脑膜炎患者的经过。结果：7例患者颅内压得到了有效的控制，相关症状明显缓解。住院及随访期间未出现与分流手术相关的并发症，未发生因分流手术造成的隐球菌播散及难治性隐球菌感染，也未发生因此导致的感染复燃。结论：分流手术可以有效缓解新型隐球菌脑膜炎所致的颅内压增高，且不对抗隐球菌的治疗产生不良影响。
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| 关 键 词： | 分流手术 新型隐球菌脑膜炎 颅高压 脑积水 |
Treatment of cryptococcal meningitis by use of shunting and review in literature |
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| ZHAO Jie,LIU Jingping,ZHANG Zhiping,LI Jian,XIAO Gelei,LIAO Xinbin,JIN Chen,LIU Ying. Treatment of cryptococcal meningitis by use of shunting and review in literature[J]. Journal of Central South University. Medical sciences, 2016, 41(5): 541-547. DOI: 10.11817/j.issn.1672-7347.2016.05.015 |
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| Authors: | ZHAO Jie LIU Jingping ZHANG Zhiping LI Jian XIAO Gelei LIAO Xinbin JIN Chen LIU Ying |
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| Affiliation: | 1. Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008;2. Department of Pathophysiology, Xiangya School of Medicine, Central South University, Changsha 410078, China |
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| Abstract: | Objective: To evaluate the time and effect of shunt operation on cryptococcal meningitis.Methods: A total 7 patients received shunt operation for the therapy of cryptococcal meningitis patients and the data was retrospectively analyzed.Results: Intracranial hypertension-caused symptoms were resolved immediately. There was no complication, no infection dissemination and no recrudescence of cryptococcal meningitis. Conclusion: Shunt operation is effective for intracranial hypertension caused by cryptococcal meningitis. It does not affect the antifungal treatment. |
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| Keywords: | shunt cryptococcal meningitis intracranial hypertention hydrocephalus |
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