中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
21期
46-47
,共2页
脑出血%术后%肺部感染%治疗
腦齣血%術後%肺部感染%治療
뇌출혈%술후%폐부감염%치료
Cerebral hemorrhage%Postoperation%Pneumonia%Treatment
目的 探讨脑出血术后并发肺部感染的危险因素及治疗措施.方法 对襄城县人民医院2008年1月至2010年3月收治的89例脑出血术后患者并发院内肺部感染及其危险因素、治疗措施进行回顾性分析.结果 脑出血术后并发肺部感染患者36例,感染发生率为40.45％.高龄20例,长期昏迷24例,气管切开26例,胃内容物反流误吸11例,应用激素19例.经严格消毒隔离、定时更换体位、及时有效吸痰、气道湿化、根据痰培养+药敏选用有效抗生素、静脉应用“氨溴索针”、应用带气囊气管套管等,36例患者肺部感染均得到控制.结论 高龄、长期昏迷、气管切开、胃内容物反流误吸、应用激素等是脑出血术后并发肺部感染的危险因素.严格消毒隔离、定时更换体位、及时有效吸痰、气道湿化、根据痰培养+药敏选用有效抗生素、静脉应用“氨溴索针”、应用带气囊气管套管等可有效控制脑出血术后并发肺部感染.
目的 探討腦齣血術後併髮肺部感染的危險因素及治療措施.方法 對襄城縣人民醫院2008年1月至2010年3月收治的89例腦齣血術後患者併髮院內肺部感染及其危險因素、治療措施進行迴顧性分析.結果 腦齣血術後併髮肺部感染患者36例,感染髮生率為40.45％.高齡20例,長期昏迷24例,氣管切開26例,胃內容物反流誤吸11例,應用激素19例.經嚴格消毒隔離、定時更換體位、及時有效吸痰、氣道濕化、根據痰培養+藥敏選用有效抗生素、靜脈應用“氨溴索針”、應用帶氣囊氣管套管等,36例患者肺部感染均得到控製.結論 高齡、長期昏迷、氣管切開、胃內容物反流誤吸、應用激素等是腦齣血術後併髮肺部感染的危險因素.嚴格消毒隔離、定時更換體位、及時有效吸痰、氣道濕化、根據痰培養+藥敏選用有效抗生素、靜脈應用“氨溴索針”、應用帶氣囊氣管套管等可有效控製腦齣血術後併髮肺部感染.
목적 탐토뇌출혈술후병발폐부감염적위험인소급치료조시.방법 대양성현인민의원2008년1월지2010년3월수치적89례뇌출혈술후환자병발원내폐부감염급기위험인소、치료조시진행회고성분석.결과 뇌출혈술후병발폐부감염환자36례,감염발생솔위40.45％.고령20례,장기혼미24례,기관절개26례,위내용물반류오흡11례,응용격소19례.경엄격소독격리、정시경환체위、급시유효흡담、기도습화、근거담배양+약민선용유효항생소、정맥응용“안추색침”、응용대기낭기관투관등,36례환자폐부감염균득도공제.결론 고령、장기혼미、기관절개、위내용물반류오흡、응용격소등시뇌출혈술후병발폐부감염적위험인소.엄격소독격리、정시경환체위、급시유효흡담、기도습화、근거담배양+약민선용유효항생소、정맥응용“안추색침”、응용대기낭기관투관등가유효공제뇌출혈술후병발폐부감염.
Objective To investigate the treatment of pneumonia in cerebral hemorrhage of postoperation.Methods To studv the clinical data,risk factors and treatment measures of 89 patients with pneumonia in cerebral hemorrhage of postoperation from January 2008 to March 2010 in the people' s hospital of Xiangcheng.Results There were 36 cases of pneumonia in cerebral hemorrhage of postoperation.The rate of infection was 40.45％.There were 20 elderly patients,24 patients in continuing coma,26 patients after incision of tracheal,11 patients sucted the stomach contents,19 patients were used the glucocorticoids.The total 36 cases were cured after disinfection and insulation,posture convertion,aspiration of sputum,airway humidification,antibiotics and ambroxol used,using the tracheal casing with saccuspipe.Conclusions Elderly,continuing coma,incision of tracheal,suction of the stomach contents,using glucocorticoids are danger factors of the patients with pneumonia in cerebral hemorrhage of postoperation.Strick performance of sterilization and isolation,Changing posture timing,timely and effective sputum aspiration and airway humidification,selecting antibiotics according to the results of sputum culture and drug sensitivity test,intravenous administration of ambroxol,using the tracheal casing with saccuspipe can effectively control the pneumonia in cerebral hemorrhage of postoperation.
