University of North Texas Health Science Center, Department of Internal Medicine, Fort Worth, Texas U.S.
Departments of Anesthesiology and Medicine, Center for Hyperbaric Medicine and Environmental Physiology, Duke University, North Carolina U.S.
Undersea Hyperb Med. 2021 First Quarter;48(1):97-102. doi: 10.22462/01.03.2021.12.
The term "intracranial abscess" (ICA) includes cerebral abscess, subdural empyema, and epidural empyema, which share many diagnostic and therapeutic similarities and, frequently, very similar etiologies. Infection may occur and spread from a contiguous infection such as sinusitis, otitis, mastoiditis, or dental infection; hematogenous seeding; or cranial trauma. In view of the high morbidity and mortality of ICA and the fact that hyperbaric oxygen therapy (HBO2) is relatively non-invasive and carries a low complication rate, the risk-benefit ratio favors adjunct use of HBO2 therapy in selected patients with intracranial abscess.
“颅内脓肿”（ICA）一词包括脑脓肿、硬脑膜下积脓和硬膜外积脓，它们具有许多相似的诊断和治疗特点，并且经常具有非常相似的病因。感染可能来自邻近部位的感染，如鼻窦炎、中耳炎、乳突炎或牙齿感染；血源性播散；或颅脑创伤。鉴于颅内脓肿的高发病率和死亡率，以及高压氧治疗（HBO2）相对非侵入性且并发症发生率低的事实，风险效益比有利于在选定的颅内脓肿患者中辅助使用 HBO2 治疗。
