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目的分析特重型颅脑损伤患者术后颅内感染原因及护理对策。方法将特重型颅脑损伤术后颅内感染的32例作为观察组,未感染的136例作为对照组,分析术后颅内感染的原因及实施综合护理的效果。结果开放性损伤、手术部位、次数、时间、术后蛋白量、脑脊液漏形成及留置引流管是导致术后颅内感染的独立危险因素。观察组经治疗和综合护理后,治愈20例(62.50%),好转9例(28.13%),死亡3例(9.37%)。结论针对特重型颅脑损伤术后颅内感染的独立危险因素,给予综合护理,能提高治疗效果、降低病死率。
Objective To analyze the causes of postoperative intracranial infection in patients with extracranial traumatic brain injury and its nursing countermeasures. Methods Thirty-two patients with intracranial infection after severe craniocerebral injury were selected as the observation group and 136 patients without infection as the control group. The causes of postoperative intracranial infection and the effect of comprehensive nursing were analyzed. Results Open injury, operation site, frequency, time, postoperative protein, CSF leakage and indwelling drainage tube were the independent risk factors of postoperative intracranial infection. After treatment and comprehensive care, the observation group was cured in 20 cases (62.50%), improved in 9 cases (28.13%) and died in 3 cases (9.37%). Conclusion Independent risk factors for intracranial infection after special heavy craniocerebral injury are given comprehensive nursing, which can improve the therapeutic effect and reduce the mortality.