Waldbaur H, Thierauf P
Zentralbl Neurochir. 1985;46(4):354-9.
On the basis of 6 cases of late cerebral abscesses after lesions caused by shell-splinters treated by us, clinic, diagnostics and therapy of this complication are discussed in detail. In 3 patients there were no direct relations between the splinters and the abscesses so that further factors (age, vascular wall changes, and the like) must play a role in the formation of the abscesses; such vascular wall fibroses were found histologically in 3 of the examined abscess capsules. In 3 cases the bacteriological identification of the pathogens was possible. The treatment was carried out by employing puncture or extirpation or the combination of the two methods.
根据我们治疗的6例弹片伤后晚期脑脓肿病例,详细讨论了该并发症的临床、诊断和治疗。3例患者的弹片与脓肿之间无直接关系,因此进一步的因素(年龄、血管壁变化等)在脓肿形成中必定起作用;在所检查的3个脓肿包膜中,组织学上发现了这种血管壁纤维化。3例患者的病原体细菌学鉴定是可行的。治疗采用穿刺、摘除或两种方法联合进行。