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老年神经外科
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  neurosurgery in elderly
     NEUROSURGERY IN ELDERLY PATIENTS:AN ANALYSIS OF 190 CASES
     老年神经外科190例分析
短句来源
     A survey and analysis of surgical site infections after neurosurgery in elderly
     老年神经外科术后手术部位感染的调查与分析
短句来源
     Objective To investigate the incidence and risk factors of surgical site infections (SSI) after neurosurgery in elderly, and to provide the scientific reference for prevention.
     目的 了解老年神经外科术后手术部位感染(SSI)情况及相关因素,为有效控制SSI提供依据。
短句来源
     Conclusions The SSI rate after neurosurgery in elderly was significantly higher, which should be emphasized by medical workers.
     结论 老年神经外科SSI发生率较高,应引起医务人员高度重视。
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  相似匹配句对
     NEUROSURGERY IN ELDERLY PATIENTS:AN ANALYSIS OF 190 CASES
     老年神经外科190例分析
短句来源
     ACUTE MYOCARDIAL INFARCTION IN THE AGED
     老年心肌梗塞
短句来源
     Systemic Lupus Erythemato sus(SLE) in the Aged
     老年SLE
短句来源
     A survey and analysis of surgical site infections after neurosurgery in elderly
     老年神经外科术后手术部位感染的调查与分析
短句来源
     Recent advances in functional neurosurgery
     功能神经外科的进展
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One hundred ninety neurosurgical patients between 56 and 87 years of age were ana-lyzed.Among 89 cases of severe head injuries,36(41%)recovered with good results,3(3%) fair,7(8%)poor and 43(48%)died;among 66 cases of intracranial tumorsand other lesions,the results were 18(27%)good,19(29%)fair,11(17%)poorand 18(27%)died;and in 35 cases of myelopathies,9(25.5%)good,14(40%)fair,7(20%)poor and 5(14.5%)died.The total mortality of the 190 cases was 35%.Itwas concluded that old age itself should not be a contraindication...

One hundred ninety neurosurgical patients between 56 and 87 years of age were ana-lyzed.Among 89 cases of severe head injuries,36(41%)recovered with good results,3(3%) fair,7(8%)poor and 43(48%)died;among 66 cases of intracranial tumorsand other lesions,the results were 18(27%)good,19(29%)fair,11(17%)poorand 18(27%)died;and in 35 cases of myelopathies,9(25.5%)good,14(40%)fair,7(20%)poor and 5(14.5%)died.The total mortality of the 190 cases was 35%.Itwas concluded that old age itself should not be a contraindication of major neurosurgi-cal operations,but pulmonary complications were most frequently encountered andshould be prevented in order to improve post-operative results.

本文报道老年神经外科(56岁以上)190例,包括颅脑外伤89例,颅内病变66例及脊髓病变35例。其中疗效好与一般者,在颅脑外伤组为43.8%(39/89),另两组为56.1%(37/66)及65.7%(23/35),三组的死亡率分别为48.3%、27.3%及14.3%。作者指出应加强预防术后感染,尤其是肺部感染,认为不应把老年列为神经外科手术的反指征。

Objective To investigate the incidence and risk factors of surgical site infections (SSI) after neurosurgery in elderly, and to provide the scientific reference for prevention. Methods Correlative clinical and laboratory data of 1 091 patients aged over 60 years undergoing neurosurgery were prospectively and retrospectively investigated from 2001 to 2003. Results The overall SSI rate of neurosurgery was 7.4%, and 34.6% of SSI were superficial infections, while 65.4% were deep ones. S. aureus was the most...

Objective To investigate the incidence and risk factors of surgical site infections (SSI) after neurosurgery in elderly, and to provide the scientific reference for prevention. Methods Correlative clinical and laboratory data of 1 091 patients aged over 60 years undergoing neurosurgery were prospectively and retrospectively investigated from 2001 to 2003. Results The overall SSI rate of neurosurgery was 7.4%, and 34.6% of SSI were superficial infections, while 65.4% were deep ones. S. aureus was the most common, and followed by E.coli, S.epidernidis, P. aeruginosa, respectively. The risk factors associated with SSI were as follows:hospitalization before surgery, surgical duration and emergency surgery, having 2 or more kinds of chronic diseases, external cerebrospinal fluid drainage, postoperative coma, cerebrospinal fluid leakage, subsequent operation and Ⅱ,Ⅲ incision. Conclusions The SSI rate after neurosurgery in elderly was significantly higher, which should be emphasized by medical workers.

目的 了解老年神经外科术后手术部位感染(SSI)情况及相关因素,为有效控制SSI提供依据。 方法 采用前瞻性和回顾性相结合的方法,对我院 2001~2003年神经外科接受手术治疗的 >60岁患者 1 091例的临床及实验室资料进行调查。 结果 SSI发生率为 7 .4%,其中浅部感染 34.6%,深部感染 65. 4%;检出的感染病原菌依次为金葡菌、大肠埃希菌、表皮葡萄球菌、铜绿假单胞菌等,与SSI相关的危险因素有:术前住院时间、手术持续时间和急诊手术,患 2种及以上慢性病、颅内置管引流、术后昏迷、脑脊液(CSF)漏、术后再次手术及Ⅱ、Ⅲ类切口等。 结论 老年神经外科SSI发生率较高,应引起医务人员高度重视。

 
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