Phillips K
J Neurosurg Nurs. 1982 Oct;14(5):280-2. doi: 10.1097/01376517-198210000-00012.
Osteomyelitis of the skull is a direct infection of the bone. It can be an acute or chronic disease. It usually has an insidious initial onset. Complications can be life-threatening and even fatal. The most frequently associated organism responsible for the disease is Staphylococcus aureus. Tissue specimens must be obtained for definitive culture and sensitivity reports. It is also important that devitalized bone and sequestra be removed as part of adequate therapy. A typical presentation on skull series is a moth-eaten appearance; however, this may not be recognized radiographically for several months. The antibiotic chosen must be given in high enough doses to assure adequate serum levels to eradicate the organism responsible for causing the disease. Length of treatment depends on the clinical course and the extent of infection but may involve several months or longer. Good nursing care is essential in dealing with osteomyelitis and involves preventive as well as therapeutic management. Patient education and support are important aspects of nursing care in helping the patient cope with the disease.
颅骨骨髓炎是骨骼的直接感染。它可以是急性或慢性疾病。通常起病隐匿。并发症可能危及生命甚至致命。导致该疾病最常见的相关病原体是金黄色葡萄球菌。必须获取组织标本以进行明确的培养和药敏报告。作为充分治疗的一部分，去除失活骨和死骨也很重要。颅骨X线片上的典型表现是虫蚀样外观；然而，在几个月内可能无法通过影像学识别。所选抗生素必须给予足够高的剂量，以确保有足够的血清水平来根除致病病原体。治疗时间取决于临床病程和感染程度，但可能需要数月或更长时间。良好的护理对于处理骨髓炎至关重要，包括预防和治疗管理。患者教育和支持是护理的重要方面，有助于患者应对疾病。
