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本文对３０多年来５２２例脑脓肿中死亡的６８例进行回顾性分析，病死率１３％，手术病人的病死率为１３．４９％，保守治疗１８例无死亡。６０例以上老年组的病死率（３７．５％）明显高于儿童（５．６％）及青壮年组（１６．６６％）。病因、脓肿部位、术式与病死率无关。多发性脓肿病死率（２６％）高于单发脓肿（１１．７６％），破入脑室者更高（６６．６６％）。对病死率影响最大的是病人入院时及／或术前的意识状态（Ｐ＜０．０１）。ＣＴ时代病死率低于ＣＴ时代前。早期诊断、及时正确治疗是降低病死率的关键。
In this paper, we retrospectively analyzed 68 cases of death in 522 cases of brain abscess over the past 30 years. The case fatality rate was 13%. The mortality rate of operation patients was 13.49%. There were no deaths in 18 cases. More than 60 cases of elderly patients mortality (37.5%) was significantly higher than the children (5.6%) and young adults group (16.66%). Etiology, abscess site, surgical procedures and mortality has nothing to do. Multiple abscess mortality (26%) was higher than solitary abscess (11.76%) and higher in those who broke into the ventricle (66.66%). The greatest impact on mortality was the patient’s consciousness at admission and / or preoperative (P <0.01). The CT mortality was lower than before the CT era. Early diagnosis, timely and correct treatment is the key to reducing mortality.