Van Alphen H A, Dreissen J J
J Neurol Neurosurg Psychiatry. 1976 May;39(5):481-90. doi: 10.1136/jnnp.39.5.481.
The authors review the results of various surgical techniques in relation to mortality and morbidity in 100 consecutive cases of brain abscess and subdural empyema. The mortality rate is the same with total excision and fractional drainage of brain abscesses, although in acute and subacute cases slight differences between both techniques are seen. In terms of morbidity, fractional drainage appears to be more favourable than total excision. The authors believe that factors other than surgical procedure influence mortality in cases of brain abscess and subdural empyema. These factors are defined in detail.
作者回顾了100例连续的脑脓肿和硬膜下积脓病例中各种手术技术与死亡率和发病率相关的结果。脑脓肿的全切除和部分引流的死亡率相同,尽管在急性和亚急性病例中,两种技术之间存在细微差异。在发病率方面,部分引流似乎比全切除更有利。作者认为,手术程序以外的因素会影响脑脓肿和硬膜下积脓病例的死亡率。这些因素已详细界定。