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1971年Heineman等人报告6例颅内化脓性疾病经非手术治疗而痊愈,他们认为治疗成功的原因是在化脓性脑炎的早期在脑组织液化和进行性脑水肿之前使用了抗菌素治疗.最近作者报告2例,借CT扫描确定为血源性脑脓肿,第一例病情复杂小能手术,采用药物治疗三周,病情获得改善.另一例有典型的手术适应症,而选用药物治疗的,结果CT扫描证实脓腔愈合,临床症状改善.例一,女性、38岁,二天前因突然发烧、头痛、颈项强直、定向障碍、于1976年9月17日入院.患者于1963年因患紫绀性先天性心脏病行心导管造影,诊断为高化的室间隔缺损,肺动脉高压与卵圆孔未闭.妊娠三胎后于1974年在子宫内上避孕环.
In 1971 Heineman et al reported 6 cases of intracranial purulent disease after non-surgical treatment and recovery, they believe that the reason for the success of the treatment in early purulent encephalitis in brain tissue liquefaction and progressive cerebral edema before the use of antibiotic treatment. Recently The authors report 2 cases, by CT scan to determine the blood-derived brain abscess, the first case of complex small surgery, the use of drug treatment for three weeks, the condition was improved .Other cases are typical surgical indications, and the choice of drug treatment, Results CT scan confirmed the healing of the abscess and improved clinical symptoms Example 1 Female, age 38, admitted to hospital on September 17, 1976 due to a sudden onset of fever, headache, neck stiffness, and disorientation two days ago. The patient developed cyanosis in 1963 Congenital heart disease line cardiac catheterization, diagnosed as elevated ventricular septal defect, pulmonary hypertension and patent foramen ovale .Three weeks after pregnancy in the womb on the intrauterinection ring.