168例食管癌术后医院感染的调查分析  

Postoperational nosocomial infection in patients with esophageal carcinoma:analysis and prevention of 168 cases

作　　者：周艳华[1] 欧阳立志[1] 

机构地区：[1]湖南省肿瘤医院,湖南长沙410006

出　　处：《现代肿瘤医学》2007年第11期1609-1610,共2页Journal of Modern Oncology

摘　　要：目的:探讨食管癌术后医院感染的预防措施。方法:对我院2003年～2005年168例食管癌手术患者术后医院感染的临床资料进行回顾性调查。结果:医院感染发生率为10.71%。以吻合口瘘性脓胸为主,其发生与手术切口、手术时间、侵入性操作和联用多种抗生素等有明显关系。结论:严格选择病例、充分做好术前准备、注意手术操作、加强术后处理、减少侵入性操作和合理使用抗生素是预防食管癌患者医院感染的主要措施。To explore the measures of prevention and treament for postoperation nosocomial infection in esophageal cancer patients. Methods： Retrospective survey was carried out in 168 patients with hospital-acquired infection from 2003 to 2005. Results： The infection rate was 10.71%. The hospital-acquired infection was related to operative wind, longer duration of operation, aggressive procedures, and antibiotics. The most common site was the pyothorax due to anastomotic leakage. Conclusions： It is important to take more perioperative measures, reduces aggressive procedures, and reasonable use of antibiotics in the prevention of hospital - acquired infection.

关 键 词：食管癌 外科治疗 医院感染 预防 

分 类 号：R735.1[医药卫生—肿瘤]