蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
8期
1020-1022
,共3页
颅脑损伤%肺部感染%病原菌%抗生素
顱腦損傷%肺部感染%病原菌%抗生素
로뇌손상%폐부감염%병원균%항생소
craniocerebral trauma%lung infection%pathogenic bacteria%antibiotics
目的：：了解重症监护室( ICU)重型颅脑损伤致肺部感染的发生情况、临床表现及用药效果。方法：对110例ICU重型颅脑损伤出现肺部感染患者的临床诊治资料进行回顾性分析。结果：ICU重型颅脑损伤出现肺部感染的发生率较高，病原菌中革兰阴性菌88株，占73.3％，革兰阳性菌26株，占21.7％，真菌6株，占5.0％。革兰阴性菌和阳性菌分别以铜绿假单胞杆菌和金黄色葡萄球菌检出率最高，分别对头胞哌酮和万古霉素的敏感率最高。经治疗，所有病例均得到缓解。结论：ICU重型颅脑损伤致肺部感染的致病菌以革兰阴性菌为主，且多重耐药情况严重，须严格控制抗生素的使用。
目的：：瞭解重癥鑑護室( ICU)重型顱腦損傷緻肺部感染的髮生情況、臨床錶現及用藥效果。方法：對110例ICU重型顱腦損傷齣現肺部感染患者的臨床診治資料進行迴顧性分析。結果：ICU重型顱腦損傷齣現肺部感染的髮生率較高，病原菌中革蘭陰性菌88株，佔73.3％，革蘭暘性菌26株，佔21.7％，真菌6株，佔5.0％。革蘭陰性菌和暘性菌分彆以銅綠假單胞桿菌和金黃色葡萄毬菌檢齣率最高，分彆對頭胞哌酮和萬古黴素的敏感率最高。經治療，所有病例均得到緩解。結論：ICU重型顱腦損傷緻肺部感染的緻病菌以革蘭陰性菌為主，且多重耐藥情況嚴重，鬚嚴格控製抗生素的使用。
목적：：료해중증감호실( ICU)중형로뇌손상치폐부감염적발생정황、림상표현급용약효과。방법：대110례ICU중형로뇌손상출현폐부감염환자적림상진치자료진행회고성분석。결과：ICU중형로뇌손상출현폐부감염적발생솔교고，병원균중혁란음성균88주，점73.3％，혁란양성균26주，점21.7％，진균6주，점5.0％。혁란음성균화양성균분별이동록가단포간균화금황색포도구균검출솔최고，분별대두포고동화만고매소적민감솔최고。경치료，소유병례균득도완해。결론：ICU중형로뇌손상치폐부감염적치병균이혁란음성균위주，차다중내약정황엄중，수엄격공제항생소적사용。
Objective:To investigate the clinical condition of pulmonary infection caused by severe head trauma infensive care unit, and observe its clinical manifestations and drug effects. Methods:The clinical diagnosis and treatment data of 110 cases with pulmonary infection caused by severe head trauma were retrospectively analyzed. Results:The incidence of pulmonary infection caused by severe head trauma was high. Eighty-eight strains of gram-negative bacteria(73. 3%),26 strains of gram-positive bacteria(21. 7%) and 6 strains of fungi (5. 0%) were found. The sensitivities of imipenem and vancomycin were the highest. All patients were alleviated after treatment. Conclusions:The gram-negative bacteria in pulmonary infection caused by severe head trauma infensive care unit is the major pathogenic bacteria. The patient is multiple drug resistance,the use of antibiotics should be strictly control.
