Miller E S, Dias P S, Uttley D
Atkinson Morley's Hospital, London, UK.
J Neurol Neurosurg Psychiatry. 1987 Nov;50(11):1415-8. doi: 10.1136/jnnp.50.11.1415.
Twenty four cases of subdural empyema are reviewed. The overall mortality was 17%, 18 patients were managed by burr hole and five by craniotomy or craniectomy. Antibiotic therapy was commenced once pus had been evacuated. Infection of the paranasal and mastoid sinuses was the commonest aetiological factor. Aspiration of pus through burr holes is the recommended surgical procedure with low mortality and morbidity, when combined with early diagnosis and aggressive chemotherapy.
回顾了24例硬脑膜下积脓病例。总体死亡率为17%,18例患者采用钻孔引流治疗,5例采用开颅手术或颅骨切除术治疗。一旦排出脓液,即开始抗生素治疗。鼻旁窦和乳突窦感染是最常见的病因。当结合早期诊断和积极化疗时,通过钻孔引流抽吸脓液是推荐的手术方法,死亡率和发病率较低。