[1]周　健　陈谦学.清创联合抗生素持续封闭冲洗引流术治疗开颅术后硬膜外及硬膜下脓肿[J].中国临床神经外科杂志,2017,(05):318-321.[doi:10.13798/j.issn.1009-153X.2017.05.012]
　ZHOU Jian,CHEN Qian Xue..Application of debridement and continuous closed irrigation and drainage to the treatment of epidural and subdural abscess after craniotomy[J].,2017,(05):318-321.[doi:10.13798/j.issn.1009-153X.2017.05.012]
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清创联合抗生素持续封闭冲洗引流术治疗开颅术后硬膜外及硬膜下脓肿()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年05期
页码:
318-321
栏目:
论著
出版日期:
2017-05-20

文章信息/Info

Title:
Application of debridement and continuous closed irrigation and drainage to the treatment of epidural and subdural abscess after craniotomy
文章编号:
1009-153X（2017）05-0318-04
作者:
周　健　陈谦学
430060 武汉，武汉大学人民医院神经外科
Author(s):
ZHOU Jian;  CHEN Qian Xue.
Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
硬膜外脓肿; 硬膜下脓肿; 开颅手术; 并发症; 封闭冲洗引流术; 清创手术
Keywords:
Epidural and subdural abscess;  Postoperative complications;  Closed irrigation and drainage;  Debridement
分类号:
R 742.7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.05.012
文献标志码:
A
摘要:
目的 探讨开颅术后硬膜外及硬膜下脓肿的诊断及治疗方法。方法 回顾性分析18例采用清创联合抗生素持续封闭冲洗引流术治疗的开颅术后硬膜外及硬膜下脓肿的临床资料。结果 冲洗引流治疗6~10 d，17例拔管后脓肿治愈；1例拔管后发现脑内脓肿继续行脓肿穿刺引流后治愈。术后随访3~12月，感染无复发。结论 头颅CT/MRI检查结果是诊断开颅术后硬膜外及硬膜下脓肿的重要依据，采用清创联合抗生素持续封闭冲洗引流术治疗开颅术后硬膜外及硬膜下脓肿疗效良好。
Abstract:
Objective To explore the diagnosis and treatment of epidural and subdural abscess after craniotomy. Methods The clinical data of 18 patients with epidural and subdural abscess after craniotomy treated by debridement and continuous closed irrigation and drainage (CCID) were analyzed retrospectively. CCID lasted from 6 to 10 days after the debridement. Results Of 18 patients with abscess, 17 were cured after extubation and 1 who had intracerebral abscess after the epidural and subdural abscess was cured by the subsequent puncture and drainage of the intracerebral abscess. The following up from 3 to 12 months showed that there was no recurrence of intracranial infection in all the patients. Conclusions The results of head CT and (or) MRI examination can provide important basis for the diagnosis of the epidural and subdural abscess after the craniotomy. The curative effect of debridement and CCID on epidural and subdural abscess after craniotomy is good.

参考文献/References:

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[2] 丁育基. 颅脑重症与手术并发症的临床处理[M]. 第1版. 北京：北京出版社，2002. 323-333.
[3] 田道锋，陈谦学，刘仁忠，等. 无菌开颅术后硬膜外区域感 染的原因及治疗[J]. 中华神经外科疾病研究杂志，2006， 5（2）：175-176.
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备注/Memo

备注/Memo:
通讯作者：陈谦学，E-amil：chenqx666@sohu.com
更新日期/Last Update: 2017-05-20