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耳部及鼻窦感染继发的颅内脓肿

Intracranial abscesses secondary to ear and paranasal sinuses infections.

作者信息

Maniglia A J, VanBuren J M, Bruce W B, Bellucci R J, Hoffman S R

出版信息

Otolaryngol Head Neck Surg (1979). 1980 Nov-Dec;88(6):670-80. doi: 10.1177/019459988008800608.

Abstract

The death rate of brain abscesses in a recently reported series is high, ranging from 36% to 50% of all cases. This paper reports experiences with ten cases of intracranial abscesses secondary to ear and sinus infections. Six of these abscesses are secondary to otitic infections with three of them located in the cerebellum. Two of the cerebellar abscesses are surgically drained through the temporal bone by the otologic surgeon, with close neurosurgical cooperation. Computerized axial tomography has revolutionized the treatment of intracranial abscesses optimizing the timing for medical and surgical management.

摘要

在最近报道的一系列病例中,脑脓肿的死亡率很高,占所有病例的36%至50%。本文报告了10例继发于耳部和鼻窦感染的颅内脓肿的治疗经验。其中6例脓肿继发于耳部感染,3例位于小脑。两名小脑脓肿患者在神经外科密切配合下,由耳科医生通过颞骨进行手术引流。计算机断层扫描彻底改变了颅内脓肿的治疗方式,优化了药物和手术治疗的时机。

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