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目的:研究颅外伤病人手术后呼吸系统受感染的危险因素,为临床治疗提供参考依据。方法:从医院档案库挑取2年内(2014年8月-2016年8月)有颅外伤进行手术医治的179个病人资料档案,对病人呼吸系统感染状况进行归类汇总处理,对病人的临床治疗资料进行统计分析。结果:179个颅外伤病人中,手术后呼吸系统感染74人,感染百分率41.34%;统计整理得病人对应治疗档案资料对比分析发现:颅外伤昏迷、手术呼吸机应用、年龄、气管切开、住院时间、合并疾病种类、抗菌药物应用等7个因素都是颅外伤病人发生手术后肺感染的危险因素,统计学分析,差异有统计学意义(P<0.05);74人颅外伤手术后肺感染病人共检出病原菌72株,革兰阴性菌为主。结论:住院时间、年龄、手术呼吸机应用、气管切开和颅外伤昏迷是致使病人手术后肺感染的独立危险因素,临床治疗中应该考虑病人的个体差异、病原菌培养实验室检测结果及药敏试验等检验检查结果,给病人有较强针对性的治疗方案。
Objective: To study the risk factors of respiratory system infection in patients with craniocerebral trauma after surgery, and to provide reference for clinical treatment. Methods: A total of 179 patients with craniocerebral trauma who underwent surgical treatment within 2 years (August 2014-August 2016) were recruited from the hospital archives to collect and summarize the patient’s respiratory infections. The clinical data of patients Treatment data for statistical analysis. Results: Of the 179 craniocerebral trauma patients, 74 were infected with respiratory system after operation, the infection rate was 41.34%. Comparing the data of the patients with the corresponding treatment files, it was found that the traumatic brain injury was unconscious, the application of surgical ventilator, age, tracheotomy, hospitalization Time, type of combined disease and application of antimicrobial agents were all the risk factors for postoperative pulmonary infection in patients with craniocerebral injury. There was a statistically significant difference between the two groups (P <0.05) Pathogens were detected in 72 patients, mainly gram-negative bacteria. Conclusion: The length of stay, age, surgical ventilator application, tracheotomy and cranial trauma coma are the independent risk factors of lung infection after operation. Patient individual differences, pathogen culture laboratory test results and drug sensitivity should be considered in clinical treatment Test and other test results, to the patient has a strong targeted treatment.