Ashraf Muhammad, Ahmed Shakeel, Ahmad Shafiq, Hussain Mukhtar
Department of Pediatric Surgery, The Children's Hospital and Institute of Child Health, Multan.
J Coll Physicians Surg Pak. 2017 Aug;27(8):483-485.
To determine the efficacy of burr hole aspiration of brain abscess in children with cyanotic heart disease in terms of number of aspirations and residual abscess.
Experimental study.
Department of Pediatric Neurosurgery at The Children's Hospital and The Institute of Child Health, Multan, from July 2010 to June 2014.
Pediatric patients of cyanotic heart disease with brain abscess were admitted. After taking history, clinical examination and necessary investigation, aspiration of abscess through a burr hole was performed. Data was collected through pre-designed proforma. Analysis of results was performed and comparison was made through statistical package for social sciences (SPSS-20).
Total number of patients were 50 with 31 (62%) male and 19 (38%) female children. Patients' age ranged from 5-10 years with mean age of 7.44 ±1.11 years. Single abscess in supra tentorial was commonly found in 44 (88%) patients. Multiple abscesses were present in 4 (8%) patients. Cerebellum was involved in 2 (4%) patients. Abscess was completely aspirated in single attempt in 37 (74%) patients, two attempts in 9 (18%) patients, and three attempts in 4 (8%) patients. No bacterial growth on culture was reported in 32 (64%) patients. Culture was positive in 18 (36%) patients. Postoperative hematoma developed in 2 (4%) patients. No mortality was reported in early postoperative period.
Aspiration of brain abscess in children with cyanotic heart disease through a burr hole is safe and successful.
从穿刺次数和残留脓肿方面确定脑脓肿钻孔抽吸术对患有青紫型心脏病儿童的疗效。
实验性研究。
2010年7月至2014年6月，木尔坦儿童医院及儿童健康研究所小儿神经外科。
收治患有青紫型心脏病合并脑脓肿的儿科患者。在采集病史、进行临床检查和必要的检查后，通过钻孔进行脓肿抽吸。通过预先设计的表格收集数据。对结果进行分析，并通过社会科学统计软件包（SPSS - 20）进行比较。
患者总数为50例，其中男性31例（62%），女性19例（38%）。患者年龄在5至10岁之间，平均年龄为7.44±1.11岁。幕上单发脓肿常见于44例（88%）患者。4例（8%）患者存在多发脓肿。2例（4%）患者小脑受累。37例（74%）患者单次穿刺即完全抽吸出脓肿，9例（18%）患者进行了两次穿刺，4例（8%）患者进行了三次穿刺。32例（64%）患者培养无细菌生长。18例（36%）患者培养呈阳性。2例（4%）患者术后发生血肿。术后早期无死亡报告。
对患有青紫型心脏病的儿童通过钻孔抽吸脑脓肿是安全且成功的。
