不同手术时机患者术后肺部感染情况

发布时间：2018-05-31 09:04

本文选题：手术时机 + 肺部感染　；参考：《中国感染控制杂志》2017年03期

【摘要】：目的比较不同手术时机患者术后肺部感染情况。方法回顾性调查2014年1—12月某院住院患者中实施外科手术的患者,对患者病例资料进行调查,对手术后肺部感染患者进行比较。结果共调查外科手术患者20 343例,手术后发生肺部感染227例,术后肺部感染发病率为1.12%。术后肺部感染发病率急诊手术患者为5.13%,高于择期手术患者术后的0.70%,差异有统计学意义(χ2=307.49,P0.001)。神经外科、普外科、心胸外科组急诊手术后患者肺部感染发病率均高于择期手术患者,差异均有统计学意义(均P0.001)。急诊手术后肺部感染患者中年龄60岁、术前不合理使用抗菌药物、心脑血管疾病、高血压及气管切开患者所占比例均高于择期手术后肺部感染患者(均P0.05);肿瘤患者所占比例低于择期手术患者(P0.05)。结论急诊手术后患者肺部感染发病率比择期手术患者高,且神经外科、普外科、心胸外科的急诊手术后肺部感染发病率较高。急诊手术中合并心脑血管疾病、高血压患者是重点防护人群;对于择期手术,肿瘤患者则为重点防护人群。
[Abstract]:Objective to compare the postoperative pulmonary infection in patients with different operative time. Methods the data of patients undergoing surgical operation in a hospital from January to December 2014 were investigated retrospectively and the pulmonary infection patients after operation were compared. Results A total of 20 343 surgical patients were investigated, 227 cases of pulmonary infection occurred after operation, the incidence of postoperative pulmonary infection was 1.12. The incidence of postoperative pulmonary infection in patients undergoing emergency operation was 5.13, which was higher than that in patients undergoing elective operation (0.70%). The difference was statistically significant (蠂 2, 307.49, P 0.001). The incidence of pulmonary infection in patients with neurosurgery, general surgery and cardiothoracic surgery was significantly higher than that in patients undergoing elective surgery (P 0.001). The age of patients with pulmonary infection after emergency operation was 60 years old. They used antibiotics unreasonably before operation and had cardiovascular and cerebrovascular diseases. The proportion of patients with hypertension and tracheotomy was higher than that of patients with pulmonary infection after elective operation (all P 0.05), and the proportion of patients with tumor was lower than that of patients with elective surgery. Conclusion the incidence of pulmonary infection in patients undergoing emergency surgery is higher than that in patients undergoing elective surgery, and the incidence of pulmonary infection is higher in neurosurgery, general surgery and cardiothoracic surgery. The patients with hypertension are the key protection population in emergency operation, and the patients with tumor are the key protection population for elective operation.
【作者单位】：南京市仙林鼓楼医院;南京大学医学院附属鼓楼医院;
【分类号】：R619.3

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