Bidziński J, Koszewski W
Z Kliniki Neurochirurgii Instytutu Chirurgii AM w Warszawie.
Neurol Neurochir Pol. 1988 Jul-Aug;22(4):325-9.
The authors present 6 patients with brain abscesses treated conservatively. There were multiple brain abscesses in 4 patients. The patients were in good general condition without marked symptoms of high intracranial pressure. The conservative treatment lasted 4 to 11 weeks under CT control and careful observation of clinical status. 5 patients were cured, 4 of them without any neurological deficit and 1--with visual field defect after bilateral brain abscesses in occipital lobes. 1 patient died in spite of drainage of the biggest of multiple abscesses. The authors confirmed the value of conservative treatment in selected cases of brain abscess, specially in multiple brain abscesses. The early beginning of such treatment seems to be specially important.
作者报告了6例采用保守治疗的脑脓肿患者。其中4例患者有多个脑脓肿。患者一般状况良好,无明显的高颅内压症状。在CT监测及仔细观察临床状态下,保守治疗持续4至11周。5例患者治愈,其中4例无任何神经功能缺损,1例在双侧枕叶脑脓肿后出现视野缺损。1例患者尽管对最大的多个脓肿进行了引流,但仍死亡。作者证实了保守治疗在某些脑脓肿病例中的价值,特别是在多发性脑脓肿中。尽早开始这种治疗似乎尤为重要。