引用本文:郑 洪,谢仁恒,王学忠,王朝武,熊云彪,刘窗溪,李远军.万古霉素鞘内注射治疗颅内感染25例疗效分析[J].中国临床新医学,2010,3(6):563-564.
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万古霉素鞘内注射治疗颅内感染25例疗效分析
郑 洪,谢仁恒,王学忠,王朝武,熊云彪,刘窗溪,李远军
564200 贵州,凤冈县人民医院神经外科(郑 洪,谢仁恒,王朝武,王学忠,李远军);550002 贵州省人民医院神经外科(熊云彪,刘窗溪)
摘要:
[摘要] 目的 探讨鞘内使用万古霉素治疗颅内感染的临床疗效。方法 对25例颅内感染患者采用万古霉素,每次20.0 mg用生理盐水稀释至5.0 ml,鞘内注射后夹闭2 h再开放引流,1次/d,直至患者体温及脑脊液中白细胞正常。结果 治愈20例,好转4例,死亡1例,病死率4.0%,预后良好率达96.0%。结论 万古霉素鞘内注射治疗颅内感染能取得满意疗效。
关键词:  万古霉素  颅内感染  脑脊液  鞘内注药
DOI:10.3969/j.issn.1674-3806.2010.06.20
分类号:R 651.1
基金项目:
The clinical therapeuric effect of the intrathecal injection with vancomycin for intracranial infection: reports 25 cases
ZHENG Hong,XIE Ren- heng,WANG Xue-zhong,et al.
Department of Neurosurgery, Fenggang Country People′s Hospital, Guizhou 564200, China
Abstract:
[Abstract] Objective To explore the clinical therapeuric effect of the intrathecal injection with vancomycin for intrcranial infection.Methods Twenty-five patients with intracranial infection were treated by 20.0 mg vancomycin diluted with 5.0 ml sodium chloride injection into lumber tube by its the external drainage once a day. The drainage tube had two hours occlusion after drug injection. When the temperature and white blood cell in cerebrospinal fluid of patients were normal the drainage tubes were removed.Results Twenty cases were cured, four cases had favourable outcome. One case was dead(4.0%).Conclusion The treatment of intrathecal injection with vancomycin for patient with intracranial infection could be satisfactory.
Key words:  Vancomycin  Intracranial infection  Cerrebrospinal fluid  Intrathecal injection