中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2013年
3期
270-272
,共3页
熊方令%刘保华%蔡旺%高行德%张建永%袁璞%张怀兵%朱宗锦
熊方令%劉保華%蔡旺%高行德%張建永%袁璞%張懷兵%硃宗錦
웅방령%류보화%채왕%고행덕%장건영%원박%장부병%주종금
脑室外引流%脑室炎%危险因素
腦室外引流%腦室炎%危險因素
뇌실외인류%뇌실염%위험인소
Ventriculostomy%Ventriculitis%Risk factors
目的 探讨脑室外引流相关脑室炎的危险因素.方法 将71例经脑室外引流治疗的患者分成脑室炎组和对照组,对其年龄、性别、原发疾病、导管放置时间及数量进行对比分析.结果 71例患者放置96根引流管,其中13例出现脑室炎,发生率为18％,男8例,女5例,放置导管时间平均18.5 d,导管数1.7根,病因分别为外伤3例,肿瘤3例,脑室出血5例,动脉瘤蛛网膜下腔出血急性脑积水2例.统计分析显示原发疾病和导管数量是脑室外引流相关脑室炎的危险因素.结论 脑室外引流相关脑室炎的发生与原发疾病和导管放置数量相关,引流的时间越长,发生脑室炎的风险越高,与患者的年龄和性别无明显相关性.
目的 探討腦室外引流相關腦室炎的危險因素.方法 將71例經腦室外引流治療的患者分成腦室炎組和對照組,對其年齡、性彆、原髮疾病、導管放置時間及數量進行對比分析.結果 71例患者放置96根引流管,其中13例齣現腦室炎,髮生率為18％,男8例,女5例,放置導管時間平均18.5 d,導管數1.7根,病因分彆為外傷3例,腫瘤3例,腦室齣血5例,動脈瘤蛛網膜下腔齣血急性腦積水2例.統計分析顯示原髮疾病和導管數量是腦室外引流相關腦室炎的危險因素.結論 腦室外引流相關腦室炎的髮生與原髮疾病和導管放置數量相關,引流的時間越長,髮生腦室炎的風險越高,與患者的年齡和性彆無明顯相關性.
목적 탐토뇌실외인류상관뇌실염적위험인소.방법 장71례경뇌실외인류치료적환자분성뇌실염조화대조조,대기년령、성별、원발질병、도관방치시간급수량진행대비분석.결과 71례환자방치96근인류관,기중13례출현뇌실염,발생솔위18％,남8례,녀5례,방치도관시간평균18.5 d,도관수1.7근,병인분별위외상3례,종류3례,뇌실출혈5례,동맥류주망막하강출혈급성뇌적수2례.통계분석현시원발질병화도관수량시뇌실외인류상관뇌실염적위험인소.결론 뇌실외인류상관뇌실염적발생여원발질병화도관방치수량상관,인류적시간월장,발생뇌실염적풍험월고,여환자적년령화성별무명현상관성.
Objective The aim of this study is to analyze the risk factors of ventriculostomy-related ventriculitis.Methods Total 71 patients were placed external ventricular drainage catheters and divided into ventriculitis group and control group.Clinical variables such as age,sex,prior clinical diagnosis,duration of external ventricular drainage,total numbers of catheters per person,and outcome were analyzed contrastively in theses cases.Results Total 96 catheters were placed in 71 patients.Among these patients,13 cases were noted presenting infection,indicating the incidence is 18％.And there were 8 males (11％) and 5 females (7％) in the 13 cases.The mean age of infected patients was 32.9 years.Each patient had 1.69 catheters.The mean of the duration of catheter was 18.5 days.The prior clinical diagnosis of the 13 patients was trauma (23％),tumor (23％),intraventricular hemorrhage (38％) and acute hydrocephalus after aneurysmal subarachnoid hemorrhage (15％) respectively.The results of statistical analysis showed the prior clinical diagnosis and the number of catheters were the risk factors of ventriculostomy-related ventriculitis.Conclusions The patient's underlying diagnosis and the number of catheters were associated with the risk of developing ventriculitis.Moreover,the longer the duration of external ventricular drainage catheter,the more likely the patient seemed to develop ventriculitis.But the age and gender of the patients are not related to ventriculostomy-related ventriculitis.
