CAJ | 학술논문

　　目的探讨开颅手术术后颅内感染的高危因素，并寻找有效的预防措施。方法对收治的1082例需要开颅手术的患者进行回顾性分析，以常见感染因素为依据，探寻术后颅内感染的高危因素。结果患者年龄、住院天数、手术时间、基础疾病、脑脊液漏及脑室外引流等因素均能显著提高颅内感染的发生概率，是引发颅内感染的高危因素；在基础疾病研究中发现：肺内感染可使颅内感染病死率显著上升。结论提高手术室的清洁级别，保证患者在术中不受细菌感染是控制开颅手术术后颅内感染的主要措施。
　　목적탐토개로수술술후로내감염적고위인소，병심조유효적예방조시。방법대수치적1082례수요개로수술적환자진행회고성분석，이상견감염인소위의거，탐심술후로내감염적고위인소。결과환자년령、주원천수、수술시간、기출질병、뇌척액루급뇌실외인류등인소균능현저제고로내감염적발생개솔，시인발로내감염적고위인소；재기출질병연구중발현：폐내감염가사로내감염병사솔현저상승。결론제고수술실적청길급별，보증환자재술중불수세균감염시공제개로수술술후로내감염적주요조시。
Objective To explore the high risk factors of intracranial infection after craniotomy operation and find out the effective prevention measures .Method 1082 Patients treated with craniotomy were analyzed retrospectively .Based on the common factors to induce the infection ,the high risk factors of intracranial infection after the operation were discussed .Results The age, duration of hospitalization , operation time, precious diseases , cerebrospinal fluid leakage and external ventricular drainage and other factors could significantly increase the incidence of intracranial infection , which were considered to the high risk factors to induce the intracranial infection .It was found in the study on the patients with the previous diseases that the mortality of intracranial infection elevated significantly in patients with pulmonary infection .Conclusion The cleaning level of operation room is improved ,and guarantee the patient to avoid the bacterial infection ,which may control the intracranial infection after the craniotomy .