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脑脓肿的诊断及治疗
引用本文:杨军,张建生.脑脓肿的诊断及治疗[J].兰州医学院学报,1998,24(3):36-38.
作者姓名:杨军  张建生
作者单位:兰医二院神经外科,神研所
摘    要:目的:进一步探讨脑脓肿发病情况,影像学表现,选择最佳治疗方法,提高治疗效果。方法:回顾分析147裂离脓肿的发病,病因,影像学表现,治疗方法及死亡率下降因素,结果:脑脓肿发病年龄较年青,血源性及隐源性脑脓肿发病率升高,CT结合MRI可明确诊断,选择最佳手术方法。CT应用后死亡率由23.8%下降到7.5%,结论:CT为脑脓肿最主要的诊断方法,CT定位下穿刺排脓可治愈大部分脑脓肿。

关 键 词:脑脓肿  CT  诊断  治疗

Diagnosis and treatment of brain abscesses
Yang Jun,Zhang Jiansheng,Kang Dulun,et al..Diagnosis and treatment of brain abscesses[J].Journal of Lanzhou Medical College,1998,24(3):36-38.
Authors:Yang Jun  Zhang Jiansheng  Kang Dulun  
Affiliation:Yang Jun,Zhang Jiansheng,Kang Dulun,et al. Institute of Neurology and The Second Affiliated Hospital of Lanzhou Medical College,Lanzhou 730030
Abstract:Objective:To investigate the pathogenic experience,imaging findings and methods of treatment in order to improve the effect of treatment.Methode:The pathogenesis,etology,imaging findings,treatment methods and the factors of lower mortality were retrospectively analysed in 147 cases with brain abscesses Results:Most of patients were young.Abscesses resulting from cryptogenic infection and hematogenous spread were mainly etiology.With CT and MRI,we can differentiate the brain abscess as different stages,and,therefore,chose the best therapeutical measure.After the introduction of CT,the mortality rate had diminished from 23.8% to 7.5% Conclusions:CT is the best method for diagnosis of brain abscess.By orienting with CT,we can cure most of brain abscesses by simple aspiration
Keywords:Brain abscess    Computed tomography    Operation    Treatment
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