严重胸部外伤患者胸腔感染的临床诊断与治疗

发布时间：2018-03-29 16:13

本文选题：胸部外伤　切入点：胸腔感染　出处：《中华医院感染学杂志》2016年19期

【摘要】：目的分析严重胸部外伤患者胸腔感染诊断与治疗方法,为临床诊治提供参考。方法选取2013年2月-2015年12月医院收治的严重胸部外伤合并胸腔感染患者96例为研究对象,随机分为观察组48例和对照组48例,对照组采取常规诊断治疗措施,观察组联合血必净注射液治疗,分析两组患者治疗效果。结果观察组患者住院时间(12.2±6.3)d显著短于对照组(15.9±5.8)d,差异有统计学意义(P0.05);经过治疗,两组患者试验室指标均得到改善,观察组RR(19.2±4.3)次/min、CRP(12.6±4.2)mg/L、WBC(11.1±2.0)×109/L显著低于对照组RR(22.0±4.3)次/min、CRP(15.1±2.2)mg/L、WBC(12.4±2.2)×109/L,差异有统计学意义(P0.05);观察组患者临床症状改善总有效率98.0%显著高于对照组68.8%,差异有统计学意义(P0.05)。结论严重胸部外伤合并胸腔感染患者常规治疗联合血必净治疗能够提高治疗效果,具有推广价值。
[Abstract]:Objective to analyze the methods of diagnosis and treatment of thoracic infection in patients with severe thoracic trauma, and to provide reference for clinical diagnosis and treatment. Methods 96 cases of severe thoracic trauma complicated with thoracic infection were selected from February 2013 to December 2015. They were randomly divided into observation group (n = 48) and control group (n = 48). The control group was treated with routine diagnosis and treatment, and the observation group was treated with Xuebijing injection. Results the hospitalization time of the patients in the observation group was significantly shorter than that in the control group (15.9 卤5.8 days), and the difference was statistically significant (P 0.05), and the laboratory indexes of the two groups were improved after treatment. In the observation group, the RR(19.2 卤4.3mg-1 路mg-1 路mg-1 / L rmg / L WBC+ 11.1 卤2.0 脳 10 9 / L was significantly lower than that in the control group (15.1 卤2.2 mg / r / min, 12.4 卤2.2 mg / L) 脳 109L / L, respectively, and the total effective rate of clinical symptom improvement in the observation group was 98.0% higher than that in the control group (68.8%). Conclusion there is a significant difference between the two groups in the improvement of clinical symptoms and chest injury associated with thoracic trauma (P 0.05N), conclusion there is a significant difference between the two groups (P < 0.05), and the clinical symptom improvement rate of the observation group is 98.0% higher than that of the control group (P 0.05%). Conclusion there is a significant difference between the two groups (P < 0.05). Routine treatment combined with Xuebijing can improve the therapeutic effect of infection patients. It is worth popularizing.
【作者单位】：贵州省黔东南州人民医院胸外科;
【基金】：贵州省卫生计生委科学技术基金资助项目(gzwjkj2014-1-025)
【分类号】：R655

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