摘要
目的探讨开颅术后并发颅内感染的相关因素,为采取有效干预措施提供依据。方法回顾性分析2008年11月-2010年12月行开颅术后362例患者的临床资料。结果发生颅内感染47例,感染率为13.0%;危险因素主要与开放性颅脑损伤、急诊开颅手术、颅内置管引流、手术持续时间长、患者自身免疫力低、不合理使用抗菌药物及无菌观念不强有关。结论正确处理伤口,缩短置管时间,合理使用抗菌药物,严格消毒隔离及无菌操作,加强患者全身营养支持,是有效预防颅内感染的重要措施。
OBJECTIVE To explore the related factors of intracranial infection after craniectomy,and provide basis for taking effective intervention measures.METHODS The clinical data of 326 patients after craniectomy from Nov 2008 to Dec 2010 in our hospital were analyzed retrospectively.RESULTS Of 47 patients with intracranial infection,the rate of infection was up to 13.0%.The dangerous factors were mainly related to the open craniocerebral injury,craniocerebral duct drainage,too long time on surgery,too low self-immunity of the patients,unreasonable use of antibiotics,and the weak sense of sterilization.CONCLUSION The intracranial infection after the craniectomy can be effectively controlled by correctly handling the wound,shortening the duct drainage time,using the antibiotic medicine reasonablely,strict disinfection segregation and sterile operation,and strengthening the support of patients＇ body nutrition.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第9期1805-1806,共2页
Chinese Journal of Nosocomiology
关键词
开颅手术
颅内感染
相关因素
对策
Craniotomy
Intracranial infection
Related factors
Countermeasures
