胸外科术后患者呼吸道感染的易感因素及治疗效果

发布时间：2018-01-07 11:06

本文关键词：胸外科术后患者呼吸道感染的易感因素及治疗效果　出处：《医疗装备》2016年22期 　论文类型：期刊论文

【摘要】：目的研究胸外科术后患者呼吸道感染的因素,观察其临床治疗的效果。方法回顾性分析2011年2月至2016年2月胸外科手术患者的病例资料,统计术后呼吸道感染的相关因素,并观察呼吸道感染者临床疗效。结果胸外科手术后患者发生呼吸道感染的感染率为17.1%,其中发生肺炎30例,支气管炎10例,肺不张11例,肺水肿2例,其他5例;胸外科手术术后呼吸道感染与患者年龄、麻醉方式、手术类型、手术时间、住院时间相关(P0.05);依据药物敏感试验结果选用抗生素治疗以后,有5例患者(8.6%)治疗无效,18例(31.0%)病情好转,35例(60.3%)治疗后痊愈。结论胸外科术后发生呼吸道感染的原因与患者自身耐受力和医院因素都有关系,现有的治疗条件下仍有一部分患者术后呼吸道感染治疗无效,故加强术前患者耐受力评估、做好医院院感的控制十分必要。
[Abstract]:Objective to study the factors of patients with respiratory tract infection in the Department of thoracic surgery after surgery, and observe its clinical therapeutic effect. Methods: a retrospective analysis of patients from February 2011 to February 2016 in Department of thoracic surgery surgery cases, related factors of respiratory tract infection statistics postoperative respiratory tract infection, and observe the clinical curative effect. Results the Department of thoracic surgery after surgery in patients with nosocomial infection of respiratory tract infection rate was 17.1%, 30 cases of pneumonia and bronchitis, 10 cases, 11 cases of atelectasis, 2 cases of pulmonary edema, 5 cases of postoperative respiratory tract infection in the Department of thoracic surgery; and the age of patients, anesthesia, operation type, operation time, hospitalization time related (P0.05); according to the result of drug sensitivity test after antibiotic treatment, 5 patients (8.6%) treatment, 18 cases (31%) improved, 35 cases (60.3%) recovered after treatment. Conclusion postoperative Department of thoracic surgery causes patients with respiratory tract infection and its tolerance Hospital factors are all related. Under current treatment conditions, there are still a part of patients who fail to treat respiratory tract infection after operation. Therefore, it is very necessary to strengthen preoperative evaluation of patients' tolerance and make hospital sense control well.

【作者单位】：贵阳市第一人民医院胸外科;
【分类号】：R655
【正文快照】： 胸外科手术常用于治疗肺部肿瘤、食管癌、心脏病、纵隔疾病和胸外伤等。一般来说,该手术对患者的创伤都较大,且进行时间长。在医疗入侵风险增多和患者本身耐受能力欠佳的情况下,胸外科手术术后医院感染报道为15.0%~23.7%,并以呼吸道感染为主[1]。术后肺功能恢复情况对患者的康

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