心胸外科疾病手术后获得性肺炎的防治探讨  

Prevention and Treatment of Postoperative Nosocomial Pneumonia in Thoracic Diseases

作　　者：张双林[1] 李然[1] 韦海涛[1] 王作陪[1] 

机构地区：[1]河南大学淮河医院,河南开封475000

出　　处：《中华医院感染学杂志》2005年第7期753-755,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨心胸外科疾病手术后获得性肺炎的防治措施。方法对我院1996～2004年间,2630例心胸外科疾病手术的临床资料进行前瞻性和回顾性分析。结果心胸外科疾病手术后获得性肺炎的发生率3.5%、病死率为10.2%;其致病菌有金黄色葡萄球菌、假单胞菌属、铜绿假单胞菌、大肠埃希菌、肠杆菌属、真菌等,这些菌株对临床常用抗生素都有不同程度的耐药性;其发生与高龄、术前并发症、FEV1%、手术时间密切相关。结论围术期采取综合防治措施,能有效地降低心胸外科疾病手术后获得性肺炎的发生率和病死率。OBJECTIVE To investigate the measures of prevention and treatment of postoperative nosocomial (pneumonia) in thoracic diseases. METHODS Retrospective and prospective studies were conducted on the data of (2 630) cases of surgical treatment of thoracic diseases from 1996 to 2004. RESULTS The (morbidity) and (mortality) of postoperative nosocomial pneumonia in thoracic diseases were 3.5% and 10.2%, respectively. The pathogens were Staphylococcus aureus, Pseudomonas spp, P. aeruginosa, Escherichia coli, Enterobacter, fungi, etc. It (resisted) to antibiotics at different degrees. Nosocomial pneumonia was closely related to elderly, other (preoperative) diseases, FEV_1% and duration of operation. CONCLUSIONS To take more perioperative measures can effectively decrease the morbidity and mortality of postoperative nosocomial pneumonia in thoracic diseases.

关 键 词：心胸外科疾病 外科治疗 术后并发症 获得性肺炎 

分 类 号：R655[医药卫生—外科学]