经皮冠状动脉支架植入术后感染的危险因素分析及预防措施

发布时间：2018-04-08 14:56

  本文选题：经皮冠状动脉支架植入术　切入点：感染　出处：《中华医院感染学杂志》2017年07期

【摘要】：目的分析经皮冠状动脉介入术后感染的危险因素,探讨经皮冠状动脉支架植入术后感染的防治措施,为临床上降低术后医院感染率提供治疗依据。方法分析2010年7月-2016年8月实施经皮冠状动脉支架植入术患者1 128例的临床资料,对术后感染的危险因素进行分析。结果 1 128例经皮冠状动脉支架植入术患者中感染59例,感染率为5.23%,感染部位以呼吸系统为主,共43例占72.88%,病原菌以肺炎克雷伯菌为主,共13株占22.03%;年龄≥60岁、住院时间≥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、吸烟、LVEF≤40%、NYHA心功能分级≥Ⅲ级、血浆白蛋白30g/L、肌酐≥116μmol/L等是感染的相关危险因素(P0.05)。结论经皮冠状动脉支架植入术后感染与患者高龄、合并糖尿病、合并COPD、吸烟、血浆白蛋白低、肌酐高、心功能差等多种因素相关,临床上需控制危险因素,减少术后医院感染率。
[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，

本文编号：1722103