【摘要】：目的對(duì)顱內(nèi)動(dòng)脈瘤并蛛網(wǎng)膜下腔出血潛伏肺部感染患者介入術(shù)后病原菌分布及其血液炎癥因子C-反應(yīng)蛋白(CRP)和炎癥細(xì)胞進(jìn)行研究,為臨床相關(guān)診斷和治療提供參考。方法醫(yī)院介入手術(shù)室2011年6月-2015年12月,實(shí)施全麻顱內(nèi)動(dòng)脈瘤并蛛血彈簧圈介入栓塞術(shù)患者120例,隨機(jī)分成Ⅰ組、Ⅱ組、對(duì)照組(Ⅲ組),各60例;采用全自動(dòng)微生物鑒定儀對(duì)分離的病原菌進(jìn)行鑒定,分析患者感染后CRP和炎癥細(xì)胞的變化。結(jié)果 60例感染患者共分離98株病原菌,以革蘭陰性菌為主,共63株占64.3%;Ⅰ組、Ⅱ組、Ⅲ組炎癥因子和炎癥細(xì)胞反應(yīng)因子進(jìn)行比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論顱內(nèi)動(dòng)脈瘤并蛛血患者術(shù)后病原菌感染以革蘭陰性菌為主,且感染患者的炎癥因子和炎癥細(xì)胞含量與術(shù)前蛛網(wǎng)膜下腔出血評(píng)分(Hunt-Hess Scale)和全麻通氣方式相關(guān)。
[Abstract]:Objective to study the distribution of pathogenic bacteria, C-reactive protein (CRP) and inflammatory cells after interventional operation in patients with intracranial aneurysms complicated with latent pulmonary infection with subarachnoid hemorrhage, so as to provide reference for clinical diagnosis and treatment. Methods from June 2011 to December 2015, 120 patients with intracranial aneurysms under general anesthesia and interventional embolization with spiders' blood coils were randomly divided into three groups: group 鈪，

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