251例老年颅脑损伤患者医院感染临床分析  

HOSPITAL INFECTION OF 251 SENILE PATIENTS WITH BRAIN INJURY

作　　者：林源泉[1] 贾军[1] 钟天安[1] 许亦群[1] 张浚[1] 

机构地区：[1]广东省深圳市龙岗中心医院神经外科,518116

出　　处：《中国煤炭工业医学杂志》2004年第7期608-609,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　探讨老年颅脑损伤患者医院感染易感部位、相关因素及防治措施。方法　回顾分析我院 1 996年 1月— 2 0 0 4年 1月 2 51例老年颅脑损伤患者的有关临床资料。结果　老年颅脑损伤患者医院感染的易感部位依次为下呼吸道、泌尿道、中枢神经系统及肠道等。感染因素与患者的原发病、并发症、侵入性操作、多次住院反复使用抗生素、各种功能障碍如咳嗽反射障碍、排尿障碍等有关 ,细菌检查共检出医院感染病原菌 86株 ,以铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌位居前三位。结论　老年颅脑损伤患者 ,医院感染存在多种易感因素 ,采取相应预防措施 ,同时预防性应用抗生素 ,依据药敏试验调整用药 ,可减少老年颅脑损伤患者医院感染。Objective To study the susceptible locality, correlation factors, prophylaxis and treatment measures of brain injury in senile patients with hospital infection. Methods 251 senile in-patients in our hospital,from January 1996 to January 2004,were studied retrospectively. Results The sequence rule of susceptible locality of brain injury in senile patients with hospital infection were under respiratory tract,urinary tract,central nervous system,intestinal tract et al.The infection factors had correlation with primary disease complication,invasive operation,repeatedly treatment with antibiotin,and dyfunction,for example cough refrex dysfunction and micturition reflex dysfunction et al.The head of 86 strains were Bacillus pyocyaneus,Escherichia coli,staphylococcus aureus. Conclusion There are many susceptible factors in senile patients with brain injury can result in hospital infection.Prophylaxis treatment,treat with antibiotin of prophylaxis and adjust medicine auordmy to drug sensitive test can reduce infection in senile in-patients with brain injury.

关 键 词：颅脑损伤 医院感染 临床分析 老年人 

分 类 号：R651.15[医药卫生—外科学]