CAJ | 학술논문

目的：探讨持续腰大池应用输液调节器控制引流治疗开颅术后颅内感染及切口愈合不良脑脊液漏的疗效。方法回顾性分析2008年10月~2013年10月经持续腰大池加输液调节器控制脑脊液引流治疗的50例术后颅内感染及脑脊液漏患者的临床资料。结果50例患者中颅脑外伤开颅去骨瓣减压术后切口愈合不良脑脊液漏20例，高血压脑出血去骨瓣减压术后皮瓣下积液伴脑脊液漏20例，所有患者均痊愈出院。结论颅内感染及脑脊液漏应用持续腰大池加输液调节器控制引流脑脊液，配合全身应用敏感抗生素是治疗术后手术切口愈合不良脑脊液漏及颅内感染的一种安全、良好的方法。
목적：탐토지속요대지응용수액조절기공제인류치료개로술후로내감염급절구유합불량뇌척액루적료효。방법회고성분석2008년10월~2013년10월경지속요대지가수액조절기공제뇌척액인류치료적50례술후로내감염급뇌척액루환자적림상자료。결과50례환자중로뇌외상개로거골판감압술후절구유합불량뇌척액루20례，고혈압뇌출혈거골판감압술후피판하적액반뇌척액루20례，소유환자균전유출원。결론로내감염급뇌척액루응용지속요대지가수액조절기공제인류뇌척액，배합전신응용민감항생소시치료술후수술절구유합불량뇌척액루급로내감염적일충안전、량호적방법。
Objective To study the clinical effect of continuous lumbar cistern using precision infusion set control and drainage of intracranial infection after craniotomy with Incision healing bad cerebrospinal fluid leakage. Methods From October 2008 to October 2013, 50 cases of postoperative intracranial infection and cerebrospinal fluid leakage patients using continuous lumbar cistern with precision infusion set control cerebrospinal fluid drainage were retrospectively analyzed. Results These 50 patients,after traumatic brain injury after decompressive craniectomy with the poor wound healing 20 cases of cerebrospinal fluid leakage , decompressive craniectomy in hypertensive intracerebral hemorrhage with hydrops under skin flap with 20 cases of cerebrospinal fluid leakage ,all patients recovered and were discharged from the hospital. Conclusion Intracranial infection and cerebrospinal fluid leakage using continuous lumbar cistern with precision infusion set drainage of cerebrospinal fluid ,with systemic application of antibiotics to treatment of post-operative cerebrospinal fluid leakage operation incision heali is a method for safety , good intracranial infection.