论文部分内容阅读
目的 探讨小儿脑脓肿的临床特点及最佳治疗方法。方法 将经CT或MRI确诊的 33例小儿脑脓肿患儿有计划地选择外科手术治疗和内科普通抗生素及头孢三嗪治疗。结果 临床显示小儿隐源性脑脓肿占78 8% ,病原学检查困难 ,检出的病原以G-杆菌为主。内科组中头孢三嗪治疗疗效优于普通抗生素 ,也优于外科治疗组。结论 小儿脑脓肿易误诊 ,以第三代头孢为主要抗生素的联合治疗方法疗效好 ,显效率达 90 9% ,多无后遗症
Objective To investigate the clinical characteristics and the best treatment for children brain abscess. Methods Thirty-three children with cerebral abscess diagnosed by CT or MRI were enrolled in this study. The surgical treatment and common antibiotics and ceftriaxone were given in a planned way. Results The clinical manifestations of children with cryptogenic brain abscess 78%, etiological examination difficult to detect the pathogen to G-bacteria-based. Internal medicine group ceftriaxone treatment superior to ordinary antibiotics, but also superior to the surgical treatment group. Conclusions Pediatric brain abscess is misdiagnosed and the combined treatment with ceftriaxone as the main antibiotic has a good curative effect and the effective rate is 90.9%, with no sequelae