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目的:分析不典型脑脓肿的特点并探讨降低误诊率的方法。方法:回顾性分析10例误诊的脑脓肿的临床资料,总结其误诊原因及避免的方法。结果:误诊为胶质瘤6例,转移瘤3例,蛛网膜囊肿1例,均接受手术及术后严格抗感染治疗,术后复查CT证实脓肿已清除,并治愈出院。结论:详细询问病史、全面收集和分析临床资料是降低误诊率的关键,囊变坏死胶质瘤及转移瘤切除前的穿刺是预防误诊而致感染扩散的有效措施。
Objective: To analyze the characteristics of atypical brain abscess and to explore ways to reduce the misdiagnosis rate. Methods: The clinical data of 10 cases of misdiagnosed brain abscess were retrospectively analyzed. The causes of misdiagnosis and the methods to avoid them were summarized. Results: 6 cases were misdiagnosed as gliomas, 3 cases with metastases and 1 case with arachnoid cysts. All patients underwent surgery and strict anti-infective therapy. The postoperative CT examination confirmed that the abscess was cleared and was discharged. CONCLUSION: It is an important measure to reduce the misdiagnosis rate that the detailed history information is collected and the clinical data are collected and analyzed comprehensively. The cyst-necrotic gliomas and the punctures before resection of the metastases are effective measures to prevent the misdiagnosis and spread of the infection.