摘要
目的探讨青紫型先天性心脏病并发脑脓肿的诊断与治疗方法。方法回顾性分析我院近12年来10例青紫型先天性心脏病并发脑脓肿患儿。结果临床资料其中最大年龄14周岁,最小年龄3周岁,男4例,女6例,法洛四联症8例,伴有肺动脉狭窄单心室2例。10例均通过CT及增强CT确诊。抗生素保守治疗6例,好转出院3例,放弃治疗3例,内外科联合治疗4例,治愈3例,死亡1例。结论青紫型先天性心脏病(尤其是法洛氏四联症),极易并发脑脓肿,CT可以对本病作出准确诊断,穿刺引流是有效外科治疗手段。早期诊断,早期治疗对患儿的预后至关重要。
Objective： To evaluate the diagnosis and treatment of cyanotic congenital heart disease （CHD） complicated with cerebral abscess. Methods： A retrospective review of 12 years records was carried out in 10 patients with cyanotic CHD complicated with cerebral abscess. Results： Age ranged from 3 to 14 years in 10 patients. （4 male and 6 female, tetralogy of Fallot 8 cases and single ventricle with pulmonary stenosis 2 cases） The abscess was identified by computed tomography （CT）. 6 cases were treated with medical therapy. （3 cases recovered and 3 cases gave up treatment. ） 4 cases were treated with combined medicine and surgical therapy. （3 paients were cured and 1 patients died. ） Conclusion： Cyanotic： congenital heart disease is easy to complicate with cerebral abscess. CT is an effective diagnosis method and craniotomy with drainage - evacuation is an effective treatment method for cerebral abscess. Early diagnosis and treatment will improve their prognosis for patients.
出处
《中国优生与遗传杂志》
2008年第6期95-95,98,共2页
Chinese Journal of Birth Health & Heredity
关键词
青紫型先天性心脏病
脑脓肿
Cyanotic congenital heart disease
Cerebral abscess
