van Dellen J R, Bullock R, Postma M H
Department of Neurosurgery, University of Natal Medical School, Durban, South Africa.
Neurosurgery. 1987 Oct;21(4):547-50. doi: 10.1227/00006123-198710000-00018.
Thirty-four cases of cerebellar abscess, diagnosed by computed tomographic (CT) scanning, were managed according to a standard protocol during a 4-year period. Triple high dosage intravenous antibiotics were used, open catheter drainage of the abscess was instituted, and external ventricular drainage was added if obvious hydrocephalus was present. Seventeen patients made a good recovery, and five remained minimally disabled. Ten patients died, and two were left severely disabled. A relationship between the level of consciousness on admission and final outcome was established. In addition, two particular CT scan features (viz. the presence of hydrocephalus and the stage of the abscess) were significant adverse prognostic factors.
在4年期间，依据标准方案对34例经计算机断层扫描（CT）诊断的小脑脓肿患者进行了治疗。采用了三联高剂量静脉注射抗生素，对脓肿进行了开放式导管引流，若出现明显脑积水则加做脑室外引流。17例患者恢复良好，5例仍有轻微残疾。10例患者死亡，2例重度残疾。确定了入院时的意识水平与最终结局之间的关系。此外，两个特定的CT扫描特征（即脑积水的存在和脓肿的阶段）是显著的不良预后因素。
