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由绿脓杆菌引起的脑或脑膜感染是罕见的,难于治疗,且此种感染常与神经外科的手术有关联。本文报告的病例,其脑部经外科手术至发生绿脓杆菌感染之间的隐匿期长达七年,作者用新抗菌素azlocillin将其治愈。一名男性患者因头痛一个月,并伴有颅后窝肿块的体征而于1971年就诊。经额部钻孔,放置脑室导液管,脑室造影显示左侧小脑有肿块。将囊性的小脑星形细胞瘤完整地切除。经氨苄青霉素和邻氯青霉素治疗两周后,患者恢复良好。
Brain or meningeal infections caused by Pseudomonas aeruginosa are rare and difficult to treat, and such infections are often associated with neurosurgical surgery. The cases reported in this paper, whose implants last up to seven years between surgery and Pseudomonas aeruginosa infection in their brains, were cured with the new antibiotic azlocillin. A male patient was diagnosed in 1971 with a headache for a month, accompanied by signs of posterior fossa lumps. Through the forehead bore, place the ventricular catheter, left ventricular imaging showed ventricular mass. Cystic cerebellar astrocytomas are completely excised. The patient recovered well after two weeks of treatment with ampicillin and chloramphenicol.