静脉关节静脉关节对手术后中枢神经系统感染的疗效与脑水复杂
FuMei Chen1, Na Wang1, Li Wang2
1Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Asian journal of neurosurgery
|November 28, 2024
概括
风腔关突变 (VPS) 有效地治疗手术后中枢神经系统感染 (PCNSI) 的水头症. 格拉斯哥昏迷量表 (GCS) 的低分数和治疗后发烧预测这些患者的分流失败.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 手术后的中枢神经系统感染 (PCNSI) 可能导致水头,这种情况需要干预.
- 腹腔皮质突变 (VPS) 放置是一种常见的水头症治疗方法.
研究的目的:
- 为了评估VPS在治疗PCNSI与水头的有效性.
- 为了确定预测PCNSI相关脑病的VPS患者治疗失败的因素.
主要方法:
- 对29名PCNSI患者的回顾性分析,这些患者患有水头发症,并接受VPS治疗.
- 使用格拉斯哥结果尺度对功能恢复的评估.
- 单变量分析,以确定分流失败的预测因素.
主要成果:
- 在58.6%的患者中,VPS成功治疗.
- 在37.9%的患者中发生了分离并发症,包括发烧,感染和阻塞.
- 格拉斯哥昏迷量表 (GCS) 低得分 (3-8) 和治疗后发烧与分流失败有关.
结论:
- VPS是一种有效的治疗PCNSI二次性水头.
- 在VPS时GCS得分较低或在治疗后发烧的患者面临更高的分流失败风险和较差的结果.
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