Patir R, Mahapatra A K, Banerji A K
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi.
Acta Neurochir (Wien). 1992;119(1-4):80-4. doi: 10.1007/BF01541786.
Four hundred and seventy patients who had undergone neurosurgical operations were studied prospectively. After defining post-operative infection so that is included all the infective complications irrespective of location occurring after surgery, the overall infection rate was 17%. The infection rate in 413 cases without pre-existing infection was 15%. Wound infection was recorded in 5% and meningitis in 6%. Risk factors which lead to a significant increase in the incidence of postoperative infection were found to be altered sensorium, multiple operations, pre-existing infection, emergency surgery, duration of surgery more than 4 hours, urinary catheterisation, cerebrospinal fluid leak, and ventilatory support.
对470例接受神经外科手术的患者进行了前瞻性研究。在定义术后感染时，将术后出现的所有感染性并发症纳入其中，而不论其发生部位，总体感染率为17%。413例无既往感染的患者感染率为15%。伤口感染记录为5%，脑膜炎为6%。发现导致术后感染发生率显著增加的危险因素包括意识改变、多次手术、既往感染、急诊手术、手术时间超过4小时、导尿、脑脊液漏和通气支持。
