摘要
目的对肺叶切除患者术后医院感染的相关因素进行分析,探讨其危险因素,提出预防措施。方法对2008年7月-2010年7月176例行肺叶切除术患者的一般资料及手术具体资料进行回顾性分析和总结。结果176例患者发生医院感染39例,感染率22.16%,共分离病原菌46株,前3位病原菌分别为肺炎克雷伯菌15株占32.61%、铜绿假单胞菌11株占23.91%、不动杆菌属8株占17.39%;感染率与年龄、低氧血症、镇痛剂、术后未早期运动、未有效排痰、手术时间和手术方式相关,而与性别无关。结论对患者的一般资料和病情作以综合的诊断、正确选择手术方式、强化无菌观念、加强患者肺功能是有效降低肺叶切除术后医院感染的重要措施。
OBJECTIVE To explore the risk factors for the nosocomial infections following pulmonary lobeetomy so as to put forward the preventive measures. METHODS The general data and the specific surgery data of 176 patients who underwent the pulmonary lobectomy from Jul 2008 to Jul 2010 were retrospectively analyzed and summarized. RESULTS Of 176 patients, there were 39 （22.16%） cases with the nosocomial infections. Totally 46 strains of pathogens were isolated, among which there were 15 （32. 16%） strains of Klebsiella pneumoniae, 11 （23.91%） strains of Pseudomonas aeruginosa, and 8 （17.39% ） strains of Acinetobacter spp. The infection rate was closely related to the age, hypoxemia, analgesics, exercise program in early stage after surgery, effective sputum discharging, operation time, and operation methods, while it was not correlated with the sex. CONCLUSION It is an effective way to reduce the incidence of nosocomial infections following the pulmonary lobectomy to comprehensively diagnose the general information and condition of patients, to choose correct surgical approach, to intensify the aseptic concept, and to improve the pulmonary function.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期337-338,共2页
Chinese Journal of Nosocomiology
关键词
肺叶切除
术后感染
临床分析
Pulmonary lobectomy
Postoperative infection
Clinical analysis
