CAJ | 학술논문

目的：分析心胸外科围手术期患者中心静脉导管感染因素并采取有效措施。方法回顾性分析320例患者的中心静脉导管留置情况并进行调查。结果留置中心静脉导管最长23 d,最短4 d,平均时间8.3 d,导管尖端进行细菌培养,20例培养出葡萄球菌,56例培养出真菌,4例培养出葡萄球菌合并真菌。结论严格无菌操作,仔细观察,合理使用抗生素,正确选择穿刺部位,定期更换敷料及接头,可以有效预防感染的发生。
목적：분석심흉외과위수술기환자중심정맥도관감염인소병채취유효조시。방법회고성분석320례환자적중심정맥도관류치정황병진행조사。결과류치중심정맥도관최장23 d,최단4 d,평균시간8.3 d,도관첨단진행세균배양,20례배양출포도구균,56례배양출진균,4례배양출포도구균합병진균。결론엄격무균조작,자세관찰,합리사용항생소,정학선택천자부위,정기경환부료급접두,가이유효예방감염적발생。
ObjectiveTo investigate the infection factors of central venous catheter(CVC) and lookfor measures to deal with infection of perioperative patients with CVC.MethodsRetrospectively analyzed the clinical data of 320 patiets who were placed CVC in cardiothoracic surgery department.ResultsThe longest position time of CVC was 23 days, the shortest position time was 4 days, with an average time of 8.3 days. Bacterial culture of the catheter tip was took place when CVC was pulled out from central venous, 20 cases were found staphylococcus, 56 cases were found fungus, 4 cases were found both staphylococcus and staphylococcus. ConclusionStrict aseptic operation, careful observation, rational use of antibiotics, correct selection of puncture, periodically changed dressings and connectors, can effectively prevent the occurrence of the infection.