颅脑损伤并发肺部感染相关因素及对策  

The relevant factor of and management for pulmonary infection in craniocerebral injury

作　　者：李锋[1] 陈平[1] 吴珍珍[1] 李学时[2] 周克城[1] 吴启华[1] 陈旭鸿[1] 

机构地区：[1]广东省深圳市龙岗区横岗人民医院神经外科,广东深圳518115 [2]中山医科大学附属第三医院神经外科,广东广州510630

出　　处：《海南医学》2005年第8期13-14,共2页Hainan Medical Journal

摘　　要：目的探讨颅脑损伤并发肺部感染的相关因素与处理方法。方法对352例颅脑损伤患者进行回顾性调查分析。结果GCS评分、肺挫伤、气管切开、糖皮质激素及H2受体拮抗剂、广谱抗生素与颅脑损伤并发肺部感染相关(P<0.05)。致病菌以G-菌为主。结论加强呼吸道护理、及早行气管切开、合理使用激素及H2受体拮抗剂、规范使用抗生素对防治肺部感染有积极意义。Objective To discuss the relevant factors of and management for pulmonary infection following craniocerebral injury. Methods using retrospective study to analyze 352 craniocerebral injury patients. Results GCS grade, contusion of lung, tracheotomy, glucocorticoid and H2 receptor antagonist, broad-spectrum antibiotics are related to pulmonary infection in cranial trauma patients (P<0.05). Gram-negative bacterium is the main pathoten. Conclusions it have positive meanings to enhance respiratory nursing care, earlier tracheotomy, reasonable using glucocorticoid and H2 receptor antagonist, regulary using antibiotics to prophylaxis and treatment pulmonary infection.

关 键 词：颅脑损伤 肺部感染 相关因素 对策 

分 类 号：R651.15[医药卫生—外科学]