胸外科手术后出现气颅和肺炎球菌性脑膜炎。
Pneumocephalus and pneumococcal meningitis after thoracic surgery.
作者信息
Asner Sandra, Chapuis-Taillard Caroline, Ris Hans-Beat, Gonzalez Michel
机构信息
Infectious Diseases Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
出版信息
Asian Cardiovasc Thorac Ann. 2011 Oct;19(5):346-8. doi: 10.1177/0218492311407796.
A 62-year-old man with adenocarcinoma underwent complete resection with a right upper lobectomy and en-bloc resection of the chest wall, with metallic clips applied to the vertebral nerve roots. A sudden deterioration in neurological status occurred due to pneumocephalus and ascending bacterial meningitis resulting from a subarachnoid-pleural fistula. The neurological status normalized after thoracoplasty and ceftriaxone treatment.
一名患有腺癌的62岁男性接受了右上叶切除术及胸壁整块切除术，术中对椎神经根使用了金属夹。由于蛛网膜下腔 - 胸膜瘘导致的气颅和上行性细菌性脑膜炎，患者神经状态突然恶化。在胸廓成形术和头孢曲松治疗后，神经状态恢复正常。
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