本文選題：重型顱腦損傷 + 氣管切開��； 參考：《中華醫(yī)院感染學(xué)雜志》2014年02期

【摘要】：目的探討重型顱腦損傷患者氣管切開術(shù)后肺部感染原因及其對策,為其治療及預(yù)防提供依據(jù)。方法選取2010年2月-2012年9月醫(yī)院行氣管切開術(shù)的53例重型顱腦損傷患者為研究對象,將其中不同年齡、昏迷時(shí)間、慢性基礎(chǔ)疾病、吸煙史及腦損傷類型者肺部感染率進(jìn)行比較,分析肺部感染者的病原菌分布,同時(shí)對肺部感染患者進(jìn)行針對性處理,對感染患者的預(yù)后情況進(jìn)行統(tǒng)計(jì)分析。結(jié)果 53例重型顱腦損傷患者中發(fā)生肺部感染27例,感染率為50.94%,其中≥60歲者、昏迷時(shí)間≥1周、伴發(fā)慢性基礎(chǔ)疾病、有吸煙史者及腦挫裂傷患者的肺部感染率分別為69.23%、72.22%、73.33%、67.86%及63.33%,明顯高于其他患者,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);27例肺部感染患者中共分離病原菌28株,其中革蘭陰性菌17株占60.71%,革蘭陽性菌9株占32.14%,真菌2株占7.14%。結(jié)論年齡較大、昏迷時(shí)間較長、伴發(fā)慢性基礎(chǔ)疾病、有吸煙史及腦挫裂傷為重型顱腦損傷患者氣管切開術(shù)后肺部感染的重要原因,且以革蘭陰性菌感染為主,經(jīng)針對性處理可有效控制感染。
[Abstract]:Objective to explore the causes and countermeasures of pulmonary infection in patients with severe craniocerebral injury after tracheotomy, and to provide evidence for its treatment and prevention. Methods from February 2010 to September 2012, 53 patients with severe craniocerebral injury underwent tracheotomy in our hospital. The lung infection rates were compared among the patients with different age, coma time, chronic basic disease, smoking history and brain injury type. The distribution of pathogenic bacteria in pulmonary infection was analyzed, and the prognosis of patients with pulmonary infection was statistically analyzed. Results Pulmonary infection occurred in 27 of 53 patients with severe craniocerebral injury, the infection rate was 50.94, and the coma time was more than 1 week for those 鈮，

本文編號(hào)：1820673