Anesteziologiia i reanimatologiia · 2007
[Infectious complications after brain tumor removal: some aspects of their prevention, diagnosis, and treatment].
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Kondrat'ev A N, Nazarov R V, Kondrat'eva E A, Gegraeva L O, Mikhaĭliuk V G, Unzhakov V V
Аннотация
A hundred and fifty-five case histories of neurosurgical patients with the complicated early postoperative period were analyzed. Early postoperative regional pyoinflammatory complications were developed in 21 (4.4%) of 481 patients. There was meningitis in 17 (3.5%) cases, ventriculitis in 2 (0.4%), and wound infection (skin flap suppuration and postoperative wound fistula). Systemic pyoinflammatory complications were observed in 8% of the patients. Among them, there were pyoinflammatory complications in the respiratory system in 30 (6.2%) cases, pyonecrotic cystitis in 5 (1%), and sepsis in 2 (0.4%). Risk factors for regional and systemic complications are shown. Based on the findings, recommendations are given to prevent and treat pyoseptic complications in neurosurgical patients.