What to do about infections after brain hemorrhage surgery
Disease description:
Recently, I have been experiencing sudden and severe headaches, and it turned out to be a cerebral hemorrhage. I went to the hospital for surgery. I would like to ask, what should be done if an infection occurs after brain hemorrhage surgery?
Doctor's answer (1)
Dr. Lv Zhiqin
Postoperative infection after cerebral hemorrhage surgery is a relatively serious complication that requires timely measures for treatment. The following are some of the main management methods:
1. Anti-infective treatment: Appropriate antibiotics should be selected according to the source of infection and the type of bacteria. After identifying the causative bacteria through cerebrospinal fluid (CSF) analysis via lumbar puncture, sensitive antibiotics should be chosen for treatment. Commonly used antibiotics include amoxicillin sodium for injection and ceftriaxone sodium for injection. Broad-spectrum antibiotics such as vancomycin or imipenem may be used when necessary.
2. Drainage therapy: Infected cerebrospinal fluid needs to be drained promptly to prevent its accumulation in the brain, which may cause hydrocephalus. External ventricular drainage or lumbar cistern external drainage can be performed to remove the infected cerebrospinal fluid and replace it with normally secreted cerebrospinal fluid.
3. Dehydration to reduce intracranial pressure: Infection may lead to elevated intracranial pressure; therefore, dehydration therapy using medications such as mannitol injection is required to lower intracranial pressure, improve cerebral circulation, and reduce damage to nerve cells.
In addition, attention to personal hygiene and maintaining good lifestyle habits can help reduce the risk of infection.
