Can brain abscess be cured?
Author:Zhao Dongsheng talked about ne Time:2022.07.02
One day a friend called and said that he had a relationship with a brain abscess. Now that human consciousness is coma, what should I do? Let me see the film and let him come to the hospital quickly. Later, the family members brought it to the hospital. I saw that I was a 70 -year -old man, with a thin body and a sense of unconsciousness. The local county hospital did not accept it and said it could not be cured. Patients had been diagnosed at a certain three hospitals more than 20 days ago due to fever. After seeing anti -inflammatory treatment, the body temperature gradually normal. At that time, the head CT was found to have edema, but the patient was discharged from the hospital after normal body temperature. Feating, dizziness and headache, consciousness slowly deteriorated, and did not think about diet. Then I asked where to treat. After admission, I checked him with CT and magnetic resonance.
The patient's admission to the hospital for examination and biochemical indicators indicate that the nutrition is very poor and the protein is very low, so the patient's consciousness has gradually improved after anti -inflammatory, replenishment to correct low protein ledis as soon as possible, and at the same time, the patient's consciousness slowly improves after the symptomatic treatment of epilepsy, but I treat this for this treatment, but I treat this for this treatment, but I treat this. It is only temporary, the intracranial lesions are not eliminated, and the patient will worsen, so under the full preparation of the craniotomy to remove the intracranial abscess.
Pathology of the postoperative pathogenesis.
After the operation of anti -inflammatory and symptomatic treatment, the patient's consciousness gradually recovered, and he could eat, dress, and urinate.
Director Zhao Dongsheng is popular here: brain abscess refers to diseases that invade the cranial due to purulent infections and form a pyomous lesions in the brain essence, including purulent encephalitis, chronic granuloma and cerebral abscess capsules. Most of the pathogenic bacteria are bacteria, including fungi and parasites. The clinical manifestations of cerebral abscess can vary depending on the time, size, location, and pathological development stage of abscess formation. Brain abscesses can develop at any age, and the most common children and young adults are the most common. The elderly have low immunity and have patients with lungs and other parts of infection. If consciousness and physical function changes occur, they must consider intracranial infection. Under 11 years of age, it accounts for 14%, 11 to 35 years old accounts for 67%, 36 to 55 years old account for 17%, and 1%over 56 years old.
Generally, the disease occurs, fever, chills, headache, nausea, vomiting, fatigue, drowsiness or restlessness, muscle soreness, etc., check the neck resistance, Clan signs, and the surrounding blood. These symptoms are sustainable 1 to 2 weeks, but it can also be as long as 2 to 3 months, and the symptoms varies. Some patients can be cured by antibiotics and other patients, and some patients can be cured, and some infection of the infection. The symptoms of poisoning in the whole body gradually relieved, and the symptoms of positioning and increasing intracranial pressure in the bureau's stove gradually obvious. If this set of symptoms is not obvious, it can be regarded as an incubation period, which can last for weeks or months, or even years. With the formation and gradually increasing abscess, the symptoms have further aggravated. Headache, vomiting, and vision edema are the three main signs. The headache is mostly on the affected side, and the abscess under the scene is mainly pain in the pillow and the forehead, and involves neck pain. Pain is mostly persistent and mandatory, often worsen in the morning or force. Vomiting can be sprayed, and cerebellar abscess headaches are more obvious. When headache worsens, vomiting also worsen. When the abscess develops to a certain extent, especially the temporal lobe and cerebellar abscess are prone to cerebral hernia. Once cerebral hernia occurs, emergency treatment must be performed. If the handling is not timely, life can be life -threatening. Another crisis is the ulceration of abscess. The ulcerated pus can enter the ventricular or subtrales of the cavity of the cerebral chamber to form acute purulent meningitis and meningitis. Patients can cause sudden high fever, coma, meningiomas irritation symptoms or epileptic seizures, blood blood, blood Routine testing of white blood cell counting and neutral granulocytes, cerebrospinal fluid examination can show purulent cerebrospinal fluid, which can be treated with complex difficulties.
Once diagnosis is confirmed, anti -inflammatory and intractic pressure should be used as soon as possible. If the abscesses have formed a cyst wall, consider surgery to remove abscess as early as possible, and then continue to treat symptomatic treatment such as anti -inflammatory dehydration and prevent epilepsy. If the treatment is not timely, life may be in danger.
Director Zhao Dongsheng is the former neurosurgeon of Xijing Hospital, and is currently the deputy director of the functional neurosurgery of Xi'an Red Club Hospital
Outpatient time: Room 310, 310 of the 3st Floor Clinic on Thursday Clinic on Thursday Clinic
Research areas: coma patients are awake, cerebral stem bleeding, spinal cord injury paralysis, hydrocephalus, brain tumor, spinal cord tumor, spinal cord tie, spinal bullets, spinal cord empty, epilepsy, cerebral palsy, lower cerebral tonsils, lower anechetal deformities under the tonsils, lower cerebral tonsils, lower cerebral hernia deformities , Pool dysfunction, refractory nerve pain, trigeminal neuralgia, facial muscle spasm, and various neurotherapy treatment
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