Kepa L, Stolarz W, Oczko-Grzesik B
I Klinika Chorób Zakaźnych Slaskiej Akademii Medycznej w Bytomiu.
Przegl Epidemiol. 1994;48(4):489-94.
Since 1986 to 1993 18 patients with bacterial, posttraumatic meningoencephalitis were hospitalized at the I Clinic of Infectious Diseases of Silesian Medical Academy in Bytom, and they made about 11.46% of the total purulent neuroinfections treated during that time. The group was composed of 16 men and one, 7-year-old girl, who was hospitalized twice. The course of the disease was very serious in 55.56% of cases and serious in the rest of patients. Permanent consequences subsequent to the disease like deafness, partial deafness and epilepsy were observed in 6 cases. Two patients died. After recovery gained by pharmacotherapy every patient was diagnosed with X-rays in order to find the spot of pathological connection between the cranium cavity and exterior environment, what afforded possibilities for neurosurgical or laryngological repair operation. The aim of the treatment was elimination of imminent recurrent infections of central nervous system. Accurate X-ray diagnostics and co-operation with surgical specializations enable us to improve prognosis and definitively restore patients to health after posttraumatic meningoencephalitis.
1986年至1993年期间,18例细菌性创伤后脑膜脑炎患者在比托姆西里西亚医学院第一传染病诊所住院,约占同期治疗的化脓性神经感染总数的11.46%。该组由16名男性和一名7岁女孩组成,该女孩曾两次住院。55.56%的病例病情非常严重,其余患者病情严重。6例患者出现了疾病后的永久性后果,如耳聋、部分耳聋和癫痫。两名患者死亡。药物治疗康复后,对每位患者进行X线检查,以寻找颅腔与外界环境之间的病理连接部位,为神经外科或喉科修复手术提供了可能性。治疗的目的是消除即将发生的中枢神经系统反复感染。准确的X线诊断以及与外科专科的合作使我们能够改善预后,并在创伤后脑膜脑炎后最终使患者恢复健康。