本文選題：經皮冠狀動脈支架植入術　切入點：感染　出處：《中華醫(yī)院感染學雜志》2017年07期

【摘要】：目的分析經皮冠狀動脈介入術后感染的危險因素,探討經皮冠狀動脈支架植入術后感染的防治措施,為臨床上降低術后醫(yī)院感染率提供治療依據。方法分析2010年7月-2016年8月實施經皮冠狀動脈支架植入術患者1 128例的臨床資料,對術后感染的危險因素進行分析。結果 1 128例經皮冠狀動脈支架植入術患者中感染59例,感染率為5.23%,感染部位以呼吸系統(tǒng)為主,共43例占72.88%,病原菌以肺炎克雷伯菌為主,共13株占22.03%;年齡≥60歲、住院時間≥2周、合并急性心肌梗死、合并糖尿病、合并慢性阻塞性肺疾病、吸煙、LVEF≤40%、NYHA心功能分級≥Ⅲ級、血漿白蛋白30g/L、肌酐≥116μmol/L等是感染的相關危險因素(P0.05)。結論經皮冠狀動脈支架植入術后感染與患者高齡、合并糖尿病、合并COPD、吸煙、血漿白蛋白低、肌酐高、心功能差等多種因素相關,臨床上需控制危險因素,減少術后醫(yī)院感染率。
[Abstract]:Objective to analyze the risk factors of infection after percutaneous coronary intervention (PCI) and to explore the preventive and therapeutic measures of infection after percutaneous coronary stent implantation (PPCI) so as to provide a basis for the treatment of nosocomial infection after percutaneous coronary intervention (PCI).Methods the clinical data of 1 128 patients undergoing percutaneous coronary stent implantation from July 2010 to August 2016 were analyzed and the risk factors of postoperative infection were analyzed.Results among 128 patients with percutaneous coronary stenting, 59 cases were infected, the infection rate was 5.233.Respiratory system was the main site of infection, 43 cases (72.88), and 13 strains were Klebsiella pneumoniae (22.03), age 鈮，

本文編號：1722103