摘要
目的 :探讨重症急性胰腺炎 (SAP)并发肺部感染的易发因素、致病菌的构成情况以及抗生素的合理使用。方法 :回顾性分析 6 4例重症急性胰腺炎并发肺部感染者的临床及细菌学特点。结果 :(1)高龄、手术治疗、慢性基础性疾病是常见易并发感染的因素。 (2 )大肠埃希氏菌是重症急性胰腺炎并发肺炎最主要的致病菌。 (3)未合并肺部感染的SAP死亡率低 (P <0 .0 5 ) ,抗生素的合理使用与结局有关。结论对SAP加强医疗护理措施 ,加强医院感染的管理 ,提高SAP并发肺部感染的预见性 ;
Objective:To analysis clinical and bacteriological characteristics of severe acute pancreatitis (SAP). Methods The data of 64 patients with nosocomial pneumonia of SAP in our hospital were retrospectively analysed. Result:The results disclosed that the most dangerous factors include the elder age, chronic disease and the patency of respiratory,smoke,operative procedure. Patients without nosocomial pneumonia of SAP had significant lower morbidity rate( P <0.05).The major pathogens were Gram negative bacilli with Escherichia coli being the most common one according to the analysis. Conclusion:We emphasize the importance of sterilization of the room and instruments,respiratory tract nurse,and rational application of antibiotics.
出处
《广州医学院学报》
2002年第3期45-47,共3页
Academic Journal of Guangzhou Medical College
