BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 发热
  • 脊椎疼痛或压痛
  • 四肢无力
全部具体信息

其他诊断因素

  • 单独括约肌功能障碍
全部具体信息

危险因素

  • 静脉吸毒
  • 近期脊柱手术或创伤
  • 留置脊髓导管
  • 伴发局部感染
全部具体信息

诊断性检查

首要检查

  • FBC
  • CRP
  • ESR
  • 脊柱的钆增强弥散加权 MRI 检查
全部具体信息

需要考虑的检查

  • 直接脓肿抽吸进行培养
  • 抽吸物 PCR 检测
全部具体信息

治疗流程

推断

疑似硬膜外脓肿

急性

甲氧西林敏感金黄色葡萄球菌 (MSSA) 感染

耐甲氧西林金黄色葡萄球菌 (MRSA) 感染

革兰氏阴性菌感染

结核分枝杆菌感染

贡献者

Kenneth F. Casey MD

Associate Adjunct Professor

Clinical Associate Professor of Physical Medicine and Rehabilitation

Wayne State University School of Medicine

Clinical Associate Professor Surgery (Neurosurgery)

Michigan State University

Detroit

MI

利益冲突披露
KFC declares that he has no competing interests.

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Consultant

Infectious Diseases

Associate Professor

Section of Infectious Diseases

Department of Medicine

University of Manitoba

Director

Infection Prevention and Control Unit Health Sciences Centre

Winnipeg

Manitoba

Canada

利益冲突披露
JME declares that he has no competing interests.

Consultant Anaesthetist

Derriford Hospital

Plymouth

UK

利益冲突披露
IC declares that he has no competing interests.

Assistant Professor

Neurology, Neurosurgery, and Anesthesiology and Critical Care Medicine

The Johns Hopkins University

Baltimore

MD

利益冲突披露
WZ declares that she has no competing interests.

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