[1]党圆圆,李勇,杨艺,等.植物状态患者脑深部电刺激术后脑脓肿1例报告并文献复习[J].临床神经外科杂志,2019,16(3):219-228.[doi:10.3969/j.issn.1672-7770.2019.03.008]
　DANG Yuan-yuan,LI Yong,YANG Yi,et al.Brain abscess after deep brain stimulation in patients with vegetative state(report of 1 case and review of literature)[J].Journal of Clinical Neurosurgery,2019,16(3):219-228.[doi:10.3969/j.issn.1672-7770.2019.03.008]
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植物状态患者脑深部电刺激术后脑脓肿1例报告并文献复习()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第3期
页码:
219-228
栏目:
神经调控专题
出版日期:
2019-06-15

文章信息/Info

Title:
Brain abscess after deep brain stimulation in patients with vegetative state(report of 1 case and review of literature)
作者:
党圆圆; 李勇; 杨艺; 夏小雨; 黄瑞景; 何江弘; 徐如祥
100700 北京，中国人民解放军总医院第七医学中心功能神经外科（党圆圆，杨艺，夏小雨，黄瑞景，何江弘，徐如祥），药理科（李勇）
Author(s):
DANG Yuan-yuan;  LI Yong;  YANG Yi;  et al.
Department of Functional Neurosurgery, The Seventh Medical Center of PLA General Hospital, Beijng 100700, China
关键词:
植物状态; 脑深部电刺激; 脑脓肿; 手术伤口感染
Keywords:
persistent vegetative state;  deep brain stimulation;  brain abscess;  surgical wound infection
分类号:
R742.7
DOI:
10.3969/j.issn.1672-7770.2019.03.008
文献标志码:
A
摘要:
【摘要】目的探讨脑深部电刺激术后脑脓肿及手术部位感染的影响因素、预防措施和治疗方案。方法回顾性分析1例植物状态行脑深部电刺激（DBS）术后发生脑脓肿患者的临床和影像资料；并复习相关文献。结果本例患者脑深部电刺激植入术后26 d确诊脑脓肿，根据伤口引流液培养结果选用敏感药物复方新诺明治疗，3个月后脓肿消失。结合文献报道，脑深部电刺激术后感染的预后与致病菌种类等因素有关。结论脑深部电刺激手术部位感染一经发现，应尽早取得病原学证据，部分感染经抗生素治疗、局部清创等措施可避免植入物移除。
Abstract:
Abstract： ObjectiveTo investigate the influencing factors, preventive measures and treatment options of brain abscess and surgical site infection after deep brain stimulation（DBS）. MethodsThe clinical and imaging data of a brain abscess after deep brain stimulation in a vegetative state patient were analyzed retrospectively, and related literatures were reviewed. ResultsIn this patient, brain abscess was diagnosed 26 days after deep brain stimulation. According to the wound drainage culture, the sensitive drug compound sulfamethoxazole was used, and the abscess disappeared after 3 months. Combined with literature reports, the prognosis of infection is related to factors such as the type of pathogenic bacteria. ConclusionEtiological evidence of surgical site infection after deep brain stimulation should be obtained as soon as possible. Infections may be treated with carefully selected antibiotics and local debridement to avoid implant removal.

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[2]张宇清,李建宇,李继平,等.运动障碍病脑深部电刺激手术并发症分析[J].临床神经外科杂志,2016,(01):31.
[3]吴曦.脚桥核的功能和临床应用研究进展[J].临床神经外科杂志,2014,(04):315.
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　XU Xin,LING Zhi-pei,YU Xin-guang,et al.Role of multichannel microelectrode recording on location of lead implants for deep brain stimulation[J].Journal of Clinical Neurosurgery,2016,(3):401.
[5]杨艺,王凯,周锋,等.《中国三个大城市意识障碍患者的治疗及陪护者现状的多中心调查》[J].临床神经外科杂志,2017,14(02):102.
　YANG Yi,WANG Kai,ZHOU Feng,et al.Conditions of patients with chronic disorders of consciousness and caregiver’s attitude andpressure in three cities in China[J].Journal of Clinical Neurosurgery,2017,14(3):102.
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更新日期/Last Update: 2019-06-15