重型颅脑损伤并发肺感染救治体会  

作　　者：郭建杰[1] 蒋金泉[1] 沈礼芹[1] 何金定[1] 

机构地区：[1]遵义医学院第五附属(珠海)医院,519100

出　　处：《当代医学》2010年第9期16-17,共2页Contemporary Medicine

摘　　要：目的探讨救治重型颅脑损伤并发肺部感染患者的体会,旨在降低死亡率,提高患者生命质量。方法对2007年1月～2009年6月在我科收治重型颅脑损伤并发肺部感染的患者58例,早期给予气管切开、纤支镜支气管肺泡灌洗、同时使用痰热清注射液,并对效果进行评价。结果治疗后,氧分压及血氧饱和度都有不同程度的升高,且差异具有统计学意义(P<0.05)。而体温明显下降,恢复到正常水平,治疗前后的差异也具有显著性(P<0.05)。患者满意度调查结果显示,总满意度(非常满意+满意)为84.48%。结论早期气管切开、纤支镜支气管肺泡灌洗术,同时配合痰热清注射液的救治方案对重型颅脑损伤患者具有很好的疗效,可以有效控制肺部感染,避免由于缺氧导致的继发性损害,值得在临床上推广应用。Objective To investigate the treatment of traumatic brain injury with severe pulmonary infection, aimed at reducing mortality and improving patient quality of life. Methods 58 severe craniocerebral injury patients with pulmonary infection were treated in January 2007-June 2009 year. All 58 patients were given early tracheotomy, bronchoscopy with bronchial lavage, and Tanreqing injection. And the results were evaluated. Results After treatment, oxygen partial pressure and blood oxygen saturation all increased with different degrees, and the difference was statistically significant （P〈0.05）. The body temperature decreased, and returned to normal levels, the differences before and after treatment also were significant statistically （P〈0.05）. Patient satisfaction survey showed that the total satisfaction was 84.48%. Conclusion Early tracheotomy, bronchoscopy with bronchial lavage, and Tanreqing injection treatment in patients with severe traumatic brain injury has a good effect, can effectively control the lung infection, avoiding the secondary damage caused by lack of oxygen, worthy of clinical application.

关 键 词：颅脑损伤 肺部感染 痰热清注射液 气管切开 

分 类 号：R651.15[医药卫生—外科学] R641[医药卫生—临床医学]