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脑脓肿(连续十例病例分析)

Brain abscess (analysis of ten consecutive cases).

作者信息

Singounas E G, Tjouras A, Karvounis P C

出版信息

Neurochirurgia (Stuttg). 1978 Nov;21(6):221-4. doi: 10.1055/s-0028-1090347.

Abstract

From our small series of ten consecutive cases five points should be emphasized. 1. In chronic cases radical excision is the treatment of choice. 2. In acute cases radical excision is the treatment of choice, if the lesion is in such a site that can be removed easily without worsening the patient's neurological condition. 3. In acute or chronic deep seated abscess, as the abscess in the parietal lobe, the best way to treat it is by drainage as a first stage. 4. Our mortality is one of the lowest reported, and 5. Patients in relatively good neurological condition and conscious level give the best results but a radical excision is recommended even in comatose patients, if the lesion is in such a site that it can be radically removed.

摘要

在我们连续的十例小样本病例中,有五点需要强调。1. 对于慢性病例,根治性切除是首选治疗方法。2. 对于急性病例,如果病变部位易于切除且不会使患者神经状况恶化,根治性切除是首选治疗方法。3. 对于急性或慢性深部脓肿,如顶叶脓肿,最佳治疗方法是首先进行引流。4. 我们的死亡率是所报道的最低之一,并且5. 神经状况和意识水平相对良好的患者预后最佳,但即使是昏迷患者,如果病变部位能够根治性切除,也建议进行根治性切除。

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