成功治疗脊柱非特异性多形态化脓性炎症疾病的一例

A. Yarikov, V. A. Kolesnikov, A. Afanasieva, E.I. Akifieva, K. Lipatov, E.R. Kim, A. Kalinkin, E.A. Agapycheva, E. V. Rumyantseva, T. Apostolova
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摘要

这篇文章提出了一个临床病例的手术治疗病人的多形态形式的非特异性脓性炎性病变的脊柱。该患者有脊髓硬膜外炎,棘旁和硬膜下脓肿,化脓性脑膜炎;该过程并发双侧下叶肺炎、全身炎症反应综合征和脓毒症。手术矫正的主要阶段为椎板切除术、清扫、脊髓旁、硬膜外、硬膜下脓肿引流、气管切开、超声引导下左侧腰肌脓肿穿刺引流。此外,患者接受了靶向抗生素治疗。在神经外科治疗后,患者转至康复治疗。根据手术治疗的结果,得出结论,采用多种方法治疗多形态非特异性脊柱脓性炎性病变的临床有效性。
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A case of successful treatment of a multimorphic form of nonspecific purulent-inflammator y disease of the spine
The article presents a clinical case of surgical treatment of a patient with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine. This patient had spinal epiduritis, paraspinal and subdural abscesses, and purulent meningitis; the course was complicated by bilateral lower lobe pneumonia, systemic inflammatory response syndrome, and sepsis. The main stages of surgical correction were laminectomy, sanitation, and drainage of paraspinal, epidural and subdural abscesses, tracheostomy, puncture and drainage of the psoas abscess on the left side under ultrasound navigation. In addition, the patient received targeted antibiotic therapy. After treatment in the neurosurgical department, the patient was transferred to rehabilitation treatment. Based on the results of surgical treatment, a conclusion was made about the clinical validity of using a combination of methods for the treatment of patients with a multimorphic form of nonspecific purulent-inflammatory lesions of the spine.
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