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在严重病的败血症患者中进行脊髓瘤炎的手术治疗
Shadi Al-Afif1, Oday Atallah2, Dirk Scheinichen3
1Department of Neurosurgery, Hannover Medical School, Carl-Neuberg Str. 1, 30625, Hannover, Germany. al-afif.shadi@mh-hannover.de.
早期,有限的手术危急病人脊髓瘤炎和败血症可以控制感染和改善长期的结果. 这种方法为需要紧急干预的高风险患者提供了可行的选择.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 在危急病患者中手术治疗脊髓瘤炎存在重大挑战和争议.
- 严重的败血症和多器官衰竭使这些患者的治疗决策复杂化.
研究的目的:
- 评估早期,有限的手术干预的疗效,在严重病情的败血症患者脊髓瘤炎.
- 评估为脊髓瘤炎接受紧急手术治疗的患者的功能结果.
主要方法:
- 对八名患有脊髓瘤炎的重症败血症患者的回顾性审查,这些患者在入院后24小时内接受了紧急手术治疗.
- 在12个月和长期随访 (平均89个月) 时使用巴特尔指数评估结果.
主要成果:
- 在8名患者中,有7人幸存下来. 手术后的功能结果是有利的,五名患者在1年后获得了良好的巴塞尔指数得分,四名患者在长期随访时获得了良好的巴塞尔指数.
- 患者呈现出高度和脊髓内/脊椎骨,需要密集护理 (中位数21天).
结论:
- 早期的,有限的手术干预在严重病情的败血症患者脊髓瘤炎可以导致快速的感染控制.
- 这一策略对于高风险的手术候选人来说是一个有效的,潜在的拯救生命的选择,提供了有利的长期功能恢复.
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