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目的介绍后颅窝手术后并发颅内感染多重耐药鲍曼不动杆菌感染特点及相关治疗及护理体会,为后期治疗、护理提供临床经验。方法回顾性分析2012-01—2014-07我院4例后颅窝术后并发的颅内感染多重耐药鲍曼不动杆菌患者临床资料、治疗及护理经验。结果后颅窝术后颅内感染多重耐药鲍曼不动杆菌4例患者经过综合治疗护理后全部痊愈,治愈率100%。结论后颅窝术后容易并发颅内感染,预防、护理是关键。一旦发生颅内感染多重耐药鲍曼不动杆菌,应早期采取腰大池持续外引流基础上,脑脊液细菌分离培养进行菌株鉴定和药敏试验,静滴、鞘内注射敏感抗生素,并给予激素、营养支持等治疗措施,同时强调医务人员手卫生、感染患者隔离、加强微生物检测、彻底环境消毒、采取相应护理措施,加强医院感染管理力度等能提高治愈率。
Objective To introduce the characteristics of Acinetobacter baumannii infection in patients with intracranial infection complicated with posterior fossa craniovertebra and related treatment and nursing experience, and to provide clinical experience for later treatment and nursing. Methods The clinical data, treatment and nursing experience of patients with multidrug-resistant Acinetobacter baumannii intracranial infection in 4 cases of posterior fossa in our hospital from 2012-01-2014-07 were retrospectively analyzed. Results Four cases of multi-drug resistant Acinetobacter baumannii intracranial infection after posterior cranial fossa were cured after comprehensive treatment and care, and the cure rate was 100%. Conclusion Posterior fossa easily complicated by intracranial infection, prevention, care is the key. In the event of intracranial infection of multidrug-resistant Acinetobacter baumannii, should be taken early on the lumbar cistern continuous external drainage, bacterial isolation and culture of cerebrospinal fluid identification and drug susceptibility testing, intravenous infusion, intrathecal sensitive antibiotics, and given hormones, Nutritional support and other treatment measures, while emphasizing medical staff hand hygiene, isolation of infected patients, to strengthen microbial testing, thorough environmental disinfection, take appropriate nursing interventions, and strengthen hospital management of infection can improve the cure rate.