中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
7期
1130-1131
,共2页
颅脑损伤%感染%肺%气管切开术
顱腦損傷%感染%肺%氣管切開術
로뇌손상%감염%폐%기관절개술
Craniocerbral trauma%Infection%Lung%Tracheotomy
目的 探讨早期气管切开对预防和治疗重型颅脑损伤后肺部感染的作用.方法 回顾性分析102例行气管切开的重型颅脑损伤患者的临床资料.结果 伤后24 h内气管切开组肺部感染(23例)低于伤后24 h后气管切开组(41例)(P<0.01);伤后24 h内气管切开组感染控制率(69.6%)显著高于伤后24 h后气管切开组(31.7%)(P<0.05);感染控制时间(8.7 d)也显著低于伤后24 h后气管切开组(18.6 d)(P<0.01).结论 重型颅脑损伤后早期行气管切开可有效预防和治疗肺部感染.
目的 探討早期氣管切開對預防和治療重型顱腦損傷後肺部感染的作用.方法 迴顧性分析102例行氣管切開的重型顱腦損傷患者的臨床資料.結果 傷後24 h內氣管切開組肺部感染(23例)低于傷後24 h後氣管切開組(41例)(P<0.01);傷後24 h內氣管切開組感染控製率(69.6%)顯著高于傷後24 h後氣管切開組(31.7%)(P<0.05);感染控製時間(8.7 d)也顯著低于傷後24 h後氣管切開組(18.6 d)(P<0.01).結論 重型顱腦損傷後早期行氣管切開可有效預防和治療肺部感染.
목적 탐토조기기관절개대예방화치료중형로뇌손상후폐부감염적작용.방법 회고성분석102례행기관절개적중형로뇌손상환자적림상자료.결과 상후24 h내기관절개조폐부감염(23례)저우상후24 h후기관절개조(41례)(P<0.01);상후24 h내기관절개조감염공제솔(69.6%)현저고우상후24 h후기관절개조(31.7%)(P<0.05);감염공제시간(8.7 d)야현저저우상후24 h후기관절개조(18.6 d)(P<0.01).결론 중형로뇌손상후조기행기관절개가유효예방화치료폐부감염.
Objective To disscuss the effect of traeheotomy on pneumonia in patients with severe cranial trauma. Methods The clinical information of 102 patients suffering severe cranial trauma after traeheotomy were analyzed retrospectively. Results The infection rate is lower than those of tracheotomy after 24 hours(P < 0.01 ) ; Infection control rate of server cranial trauma after tracheotomy in 24 hours was obviously higher than those of tra- cheotomy after 24 hours(P < 0.05) ; but contrary in control time ( P < 0.01 ). Conclusion Tracheotomy should be applied as soon as possible,it is important to prevent and cure pulmonary infection for patients who are suffering se- vere cranial trauma.
