CAJ | 학술논문

目的：探讨微血管减压术后颅内感染的早期诊治方法。方法回顾性分析我科收治的131例行微血管减压术患者中术后发生颅内感染的6例患者临床资料，探讨其发生病因及早期诊治措施。结果微血管减压术后6例颅内感染患者，早期均行腰穿确诊，脑脊液白细胞计数均>0.01×109/L，多核白细胞>50%，其中2例脑脊液细菌培养结果为金黄色葡萄球菌(Staphylococcus aureus，SA)，1例为表皮葡萄球菌(Staphylococcus epidermidis， SE)，均对万古霉素(Vancomycin，VAN)敏感。6例患者均早期行腰大池持续引流，静脉联合鞘内注射敏感抗生素，两周内全部治愈。结论早期行腰穿及腰大池持续引流，静脉联合鞘内注射敏感抗生素,可以及时确诊并有效治愈微血管减压术后颅内感染。
목적：탐토미혈관감압술후로내감염적조기진치방법。방법회고성분석아과수치적131례행미혈관감압술환자중술후발생로내감염적6례환자림상자료，탐토기발생병인급조기진치조시。결과미혈관감압술후6례로내감염환자，조기균행요천학진，뇌척액백세포계수균>0.01×109/L，다핵백세포>50%，기중2례뇌척액세균배양결과위금황색포도구균(Staphylococcus aureus，SA)，1례위표피포도구균(Staphylococcus epidermidis， SE)，균대만고매소(Vancomycin，VAN)민감。6례환자균조기행요대지지속인류，정맥연합초내주사민감항생소，량주내전부치유。결론조기행요천급요대지지속인류，정맥연합초내주사민감항생소,가이급시학진병유효치유미혈관감압술후로내감염。
Objective To investigate the early diagnosis and treatment of intracranial infections after micro-vascular decompression. Methods This retrospective study included 6 cases with intracranial infections after micro-vascular decompression of 131 cases, to study the causes, the early diagnosis and treatment of intracranial infections. Results Early lumbar puncture was purchased to confirm the diagnosis of intracranial infections in 6 cases,.we found that the WBC in cerebrospinal fluid (CSF) for all patients with intracranial infections accounted more than 0.01×109/L, Polymorphonuclear leukocytes accounted more than 50%, CSF bacterial culture showed that the causative organisms were Staphylococcus aureus (SA) in 2 cases and Staphylococcus epidermidis (SE) in 1 case. Vancomycin (VAN) were all sensitive to the whole pathogenic bacteria. Within 2 weeks, the 6 cases who given all cured with early external lumbar drainage combined with sensitive antibiotics by the intrathecal injection. Conclusion It can help to improve early pe-riod diagnosis and treating effects on intracranial infections after microvascular decompression with early lumbar puncture and external lumbar drainage combined with sensitive antibiotics by the intrathecal injection.