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脑脊液过度外引流可能会加重细菌性脑室炎。

Excessive external drainage of CSF might aggravate bacterial ventriculitis.

作者信息

Zheng Song-Ping, Li Guo-Ping, You Chao

机构信息

West China Hospital of Sichuan University, Department of Neurosurgery, Cheng Du, China.

出版信息

Turk Neurosurg. 2014;24(1):108-10. doi: 10.5137/1019-5149.JTN.7817-13.0.

DOI:10.5137/1019-5149.JTN.7817-13.0
PMID:24535804
Abstract

Bacterial ventriculitis is one of the most difficult diseases of neurosurgery, if not controlled well in the early stage, it will cause empyema, adhesion and separated infectious ventricle locules inside the ventricle. Few studies focus on the relationship between external drainage volume and the occurrence of adhesion and separation of the ventricle. This paper reported a case of ventriculitis, and we propose that excessive external drainage might increase the occurrence rate of the internal separation and adhesion of ventricle in patients with ventriculitis. Choosing an appropriate drainage method and avoiding excessive drainage might be the key to the treatment of ventriculitis.

摘要

细菌性脑室炎是神经外科最棘手的疾病之一,若早期控制不佳,会导致脑室积脓、粘连以及脑室内感染性腔隙分隔。很少有研究关注外引流液量与脑室粘连及分隔发生之间的关系。本文报道了一例脑室炎病例,我们提出过度外引流可能会增加脑室炎患者脑室内分隔及粘连的发生率。选择合适的引流方法并避免过度引流可能是治疗脑室炎的关键。

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1
Excessive external drainage of CSF might aggravate bacterial ventriculitis.脑脊液过度外引流可能会加重细菌性脑室炎。
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2
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Ventriculitis of the central nervous system.中枢神经系统脑室炎
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引用本文的文献

1
Application of neuroendoscopic surgical techniques in the assessment and treatment of cerebral ventricular infection.神经内镜手术技术在脑室感染评估与治疗中的应用
Neural Regen Res. 2019 Dec;14(12):2095-2103. doi: 10.4103/1673-5374.262591.
2
Neuroendoscopic Evaluation and Treatment for Cerebral Ventricular Infection.神经内镜对脑室感染的评估与治疗
Chin Med J (Engl). 2018 Sep 5;131(17):2114-2116. doi: 10.4103/0366-6999.239319.
3
Bilateral External Ventricular Drain Placement and Intraventricular Irrigation Combined with Concomitant Serial Prone Patient Positioning: A Novel Treatment for Gravity-Dependent Layering in Bacterial Ventriculitis.
双侧脑室引流管置入及脑室内冲洗联合连续俯卧位:细菌性脑室炎重力依赖性分层的一种新治疗方法。
Cureus. 2017 Apr 18;9(4):e1175. doi: 10.7759/cureus.1175.
4
Neuroendoscopic surgery for ventriculitis and hydrocephalus after shunt infection and malfunction: Preliminary report of a new strategy.神经内镜手术治疗分流感染和故障后发生的脑室炎和脑积水:一种新策略的初步报告
Asian J Endosc Surg. 2015 May;8(2):180-4. doi: 10.1111/ases.12162.