[The treatment of multiple brain abscesses].
Results are submitted of surgical treatment of 64 patients with multiple abscesses of the brain. The greatest benefit appeared to be from a combined treatment option involving different combinations of operative intervention (puncture, drainage, and complete removal) and, against this background, adequate doses of antibacterial agents. Overall fifty three patients (82.8%) underwent surgical treatment. Of these, 39.6 percent had their abscesses removed. Aspiration + drainage (22.6% of cases), aspiration + removal (16.9%) came in the second and third place respectively. Total mortality was 42.1%, operative mortality 35.7%. The lowest mortality level (16.6%) appeared to be in the combination of abscess puncture + drainage + removal. In the second place there came to be removal (death rate 28.7%) followed by the combination of puncture + removal (death rate 33.3%). Late operative intervention carried out in the patients during the stage of decompensation together with inadequate method of treatment were by far the commonest causes of the recorded mortality rates.
Voloshchuk
S Ia
SIa
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001921:Brain / Q000601:surgery; D001922:Brain Abscess / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D003131:Combined Modality Therapy; D004322:Drainage; D006801:Humans; D007430:Intraoperative Care; D011379:Prognosis; D011677:Punctures; D012307:Risk Factors
D000900:Anti-Bacterial Agents