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目的:探讨最新的脑脓肿的诊断和治疗的方法。方法:回顾性分析2001-2011年80例脑脓肿患者临床资料,并且查阅最新的文献资料。结果:80例脑脓肿患者,死亡率是11.25%,年龄2～84岁,最常见的感染人群为青壮年55例(68.75%)。隐源性感染途径34例(42.5%),额叶和顶叶脑脓肿的发病率是33.75%,头痛是最常见的症状53例(72.5%),链球菌属和葡萄球菌属感染分别是9例(42.86%)和5例(23.81%)。26例(32.5%)患者药物保守治疗,进行脓肿穿刺抽吸术的患者为18例(22.5%),26例(32.5%)进行了手术切除,6例(7.5%)例采用联合治疗,4例(5%)在入院后很快死亡。结论:隐源性感染已经成为近些年最常见的感染途径,额叶和顶叶成为脑脓肿的最高发的区域。链球菌属和葡萄球菌属是最常见的病原微生物。对于不适用药物保守治疗和外科手术治疗的患者,脓肿穿刺抽吸术是一项安全而有效的选择。
Objective: To explore the latest diagnosis and treatment of brain abscess. Methods: The clinical data of 80 patients with brain abscess from 2001 to 2011 were analyzed retrospectively, and the latest literatures were consulted. Results: In 80 patients with brain abscess, the mortality rate was 11.25%. The age ranged from 2 to 84 years. The most common infection group was 55 young adults (68.75%). The incidence of cryptogenic infection was 34 cases (42.5%). The incidence of frontal and parietal lobes was 33.75%. Headache was the most common symptom in 53 cases (72.5%). Streptococcus and Staphylococcus infections were 9 Cases (42.86%) and 5 cases (23.81%). Twenty-six patients (32.5%) underwent conservative treatment. Of the 26 patients (32.5%) who underwent conservative ablation aspiration, 18 (22.5%) had abscess aspiration and 26 (32.5% Cases (5%) died soon after admission. Conclusion: Hidden infection has become the most common infection route in recent years. Frontal lobe and parietal lobe become the highest areas of brain abscess. Streptococcus and Staphylococcus are the most common pathogenic microorganisms. Abscess aspiration is a safe and effective option for patients who are not eligible for conservative medical and surgical procedures.