用巴克洛芬治疗半球切除术后的术后发烧:未被注意到的治疗
Mohammad Elbaroody1, Hossam Eldin Mostafa2, Salsabil Abo Al-Azayem3
1Department of Neurosurgery, Cairo University, Cairo, Egypt. Mohammad.elbaroody@kasralainy.edu.eg.
概括
巴克洛芬有效地控制了中部发烧,这是半球切除手术后常见的并发症. 这项研究强调了巴克洛芬作为半球切除术后中央发烧的安全治疗方法,防止不必要的抗生素使用.
科学领域:
- 神经外科 神经外科
- 儿科神经学 儿科神经学
- 临床药理学 临床药理学
背景情况:
- 发烧是半球切除术后的一个常见的术后并发症.
- 经常遇到非传染性原因,包括中部发烧.
- 这一病例是首次报告使用巴克洛芬治疗半球切除术后的中部发烧.
研究的目的:
- 报告巴克洛芬在经过修改半球切除术后控制中部发烧的成功使用情况.
- 为了证明一种替代治疗不耐药的术后发烧,当感染被排除在外.
主要方法:
- 一名有新生儿中风病史的12岁女性接受了左半球修饰切除术,以治疗难治的发作.
- 术后,患者出现复发性发烧,最初治疗感染,然后在排除其他原因后诊断为中央发烧.
- 巴克洛芬的初始剂量为5毫克/天,并定位至20毫克/天,导致发烧消失.
主要成果:
- 患者经历了巴克洛芬治疗的中心发烧的消失.
- 患者在10个月的随访期间保持无和无发烧.
- 巴克洛芬被安全地使用,没有报告的不良反应.
结论:
- 中枢热是一种排斥的诊断,认识到它可以防止不必要的抗生素治疗.
- 巴克洛芬是一种安全有效的选择,用于管理半球切除术后的中部发烧.
- 这一案例支持巴克洛芬作为神经外科中枢发烧患者的有价值的治疗剂.
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