脑脊液乳酸盐水平和神经外科术后脑膜炎

发布时间：2018-05-10 12:18

  本文选题：乳酸盐 + 后颅窝手术　； 参考：《中国感染与化疗杂志》2017年05期

【摘要】：正细菌性脑膜炎使少数神经外科手术后患者病情复杂。然而,根据临床症状评估患者罹患术后脑膜炎也很复杂,尤其对于后颅窝手术后的无菌性脑膜炎(可能是对血液或其他物质的炎性反应)。事实上,约有75%术后脑膜炎患者是非感染性炎症。因此在缺乏革兰染色阳性结果或其他可以确定病原体方法的情况下,无菌性或术后脑膜炎的脑脊液化验结果往往无法区分无菌性炎症或感染。此外,许多患者在脑脊液检测前已使用抗生素治
[Abstract]:Positive bacterial meningitis complicates a few patients after neurosurgery. However, assessing postoperative meningitis based on clinical symptoms is also complex, especially for aseptic meningitis after posterior fossa surgery (possibly an inflammatory response to blood or other substances). In fact, about 75% of patients with postoperative meningitis are non-infectious inflammation. Therefore, in the absence of Gram-positive results or other methods to identify pathogens, cerebrospinal fluid tests for aseptic or postoperative meningitis often fail to distinguish aseptic inflammation or infection. In addition, many patients were treated with antibiotics before cerebrospinal fluid testing
【分类号】：R515.2
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本文编号：1869280