Ng P Y, Seow W T, Ong P L
Department of Neurosurgery, Tan Tock Seng Hospital, Republic of Singapore.
Aust N Z J Surg. 1995 Sep;65(9):664-6. doi: 10.1111/j.1445-2197.1995.tb00677.x.
Thirty patients with brain abscesses who were treated at the Department of Neurosurgery, Tan Tock Seng Hospital, Singapore, during the period July 1989 to July 1993, were reviewed. There were seven females and 23 males with mean follow up duration of 19 months. The predisposing factors identified were otogenic infections in 10 cases (33%), paranasal sinus infection in 2 cases (7%) and congenital heart disease in 6 cases (20%). All cases underwent aspiration or excision of the abscess. Repeat operations were carried out if the abscess reaccumulated. A total of 49 aspirations and 16 excisions were performed. Twenty-five patients (84%) made a good recovery, three patients (10%) were moderately disabled, one patient (3%) was severely disabled and one patient (3%) died. There was no postoperative haemorrhage or wound infections. Two patients (7%) developed hydrocephalus and three (10%) had seizures postoperatively.
对1989年7月至1993年7月期间在新加坡陈笃生医院神经外科接受治疗的30例脑脓肿患者进行了回顾性研究。其中女性7例，男性23例，平均随访时间为19个月。确定的易感因素包括耳源性感染10例（33%）、鼻旁窦感染2例（7%）和先天性心脏病6例（20%）。所有病例均接受了脓肿抽吸或切除。如果脓肿再次积聚，则进行重复手术。共进行了49次抽吸和16次切除。25例患者（84%）恢复良好，3例患者（10%）中度残疾，1例患者（3%）重度残疾，1例患者（3%）死亡。无术后出血或伤口感染。2例患者（7%）发生脑积水，3例患者（10%）术后发生癫痫。
