Mosiĭchuk N M, Golubitskiĭ A I, Shvidkaia D G
Zh Vopr Neirokhir Im N N Burdenko. 1988 Jan-Feb(1):27-30.
Data on the treatment of 69 patients with cerebral abscesses is discussed. Surgery was applied on 22 patients, the abscess was removed radically with the capsule. The best results were produced in removal of superficially located abscesses, in deep location the capsule was usually ruptured during its separation and severe inflammatory complications developed in the postoperative period and led to a fatal outcome in 50% of cases. The results were optimum when the seat of the abscess was drained by an inflow-outflow system and irrigated by antiseptic and antibiotic solutions, and also in treatment by the puncture method (31 patients).
讨论了69例脑脓肿患者的治疗数据。22例患者接受了手术,脓肿连包膜一起被彻底切除。浅表性脓肿切除效果最佳,深部脓肿在分离包膜时通常会破裂,术后会出现严重的炎症并发症,50%的病例导致死亡。当脓肿部位通过流入-流出系统引流并用防腐剂和抗生素溶液冲洗,以及采用穿刺法治疗时(31例患者),效果最佳。