摘要
目的观察不同心脏疾病在体外循环手术后中心静脉留置管道感染的情况。方法将我科监护室近2年来收治的所有心脏手术后患者,心功能衰竭或心律失常抢救患者及心脏外伤患者按病种分类,对明确的和可疑的中心静脉留置管道感染患者,均留取外周血和导管标本进行培养。结果心脏移植术后中心静脉留置管道感染率最高,为25%;其次是动脉瘤手术,感染率为21.8%;第三是一些急诊抢救患者,感染率为15.1%;而中心静脉留置管道感染的致病菌以革氏阳性菌为主。结论体外循环手术后中心静脉留置管道感染的发生率与患者原发病、基础疾病的严重程度、术后心功能及其他脏器功能状况、以及术后所用药物均有很大的相关性。
Objective To observe infection cases from catheter in central vein of different heart disease patients in cardiopulmonary bypass surgery. Methods All patients are classified according to the types of postsurgery heart disease,heart function failure and emergency heart disease with arrhythmia in ICU over the last two years. The samples of eircumferenee blood and catheter in central vain are taken from the patients with definite and possible infection for fostering and experiment. Results The highest infection rate of 25 % on catheter in central vain was from heart transplant surgery;the second highest rate of 21.8% was from aneurism surgery;and the third one of 15.1% was from some emergency patients. It was found that G＋ bacteriia were the mainly pathogenic bacterium in the infection of catheter in central vein. Conclusion The infection rate of catheter in central vain is greatly related to the patients＇ original diseases, foundation disease status,post- surgery functions of heart and other organs,and the use of medicines.
出处
《临床外科杂志》
2007年第3期191-193,共3页
Journal of Clinical Surgery
关键词
中心静脉
管道
感染
体外循环
手术
central vein
catheter
infection
cardiopulmonary bypass
surgery
