摘要
目的探讨脑室腹腔分流术后颅内感染的预防和外科处理方法。方法回顾性分析2007年1月至2008年12月我院收治的9例脑室腹腔分流术后颅内感染患者的临床资料。结果 8例患者痊愈出院,1例白假丝酵母菌感染患者自动出院后死亡。结论脑室腹腔分流术中严格无菌操作是预防术后感染的关键。发生感染时需将分流管腹腔端取出外引流,静脉使用敏感抗生素,并通过分流泵向脑室内注射抗生素,待感染彻底控制后移除全部分流装置,行再次分流。此方法操作简单,是治疗脑室腹腔分流术后颅内感染的有效方法。
Objective To investigate the prevention and surgical treatment for intracranial infection after ventriculoperitoneal shunt.Methods The clinical data of 9 patients with intracranial infection after ventriculoperitoneal shunt were analyzed retrospectively,who were admitted to our department from Jan 2007 to Dec 2008.Results Eight patients had recoveredand discharged.One patient with Candida albicans infection left the hospital spontaneously and died afterwards.Conclusion Sterilization is critical to prevent intracranial infection after ventriculoperitoneal shunt.For those patients who were infected should be treated aggressively with intravenous antibiotics and drainage of cerebrospinal fluid from belly cavity.Antibiotics injected into ventricle through reserved shunt pump should be done meanwhile.After the infection is controlled and the removal of all shunt drainage equipment.Triculoperitoneal shunt will be performed afterwards.It is the easy-performed and effective procedure for the treatment of intracranial infection.
出处
《北京医学》
CAS
2011年第5期371-373,共3页
Beijing Medical Journal
关键词
脑积水
脑室腹腔分流术
颅内感染
Hydrocephalus Ventriculoperitoneal shunt Intracranial infection
