腹部手术后肺部感染的临床新特征分析  

Features of pulmonary infection after abdominal surgery

作　　者：俞国法 马煜[1] 

机构地区：[1]嵊州市人民医院外一科,312400

出　　处：《浙江医学》2013年第2期118-119,共2页Zhejiang Medical Journal

摘　　要：目的探讨腹部手术后患者并发肺部感染的临床新特征。方法对213例腹部手术患者术后肺部感染的发病率、临床特征及病原菌进行回顾性分析。结果28例（13．1％）患者术后并发肺部感染，其中4例症状不典型，仅表现为发热，后经肺部CT证实存在肺部感染；3例肺部感染病情重、进展快，导致呼吸功能不全；此外，肺部感染的致病菌以革兰阴性菌为主。且对二代头孢菌素多耐药。结论警惕腹部手术后肺部症状不典型肺部感染的发生，经验用药要早期使用针对革兰阴性菌敏感的三代头孢菌素或喹诺酮类及碳青霉烯类抗菌药物。并根据药敏结果及时调整方案，防止严重后果出现。Objective To observe the features of pulmonary infection after abdominal surgery. Methods The incidence, clinic features and pathogenic bacteria types of postoperative pulmonary infection in 213 patients, who underwent abdominal surgery from August 2006 to October 2008, were retrospectively analyzed. Results Of these 213 patients, 28 （13.1%） devel- oped pulmonary infection. In 4 patients （14.3%）, fever was the only manifestation, and pulmonary infection was diagnosed by CT scan. Three patients （10.7%） had respiratory dysfunction due to the rapid progression of pulmonary infection. Bacteria culture showed that G- bacteria was the main pathogens which resistant to the second generation of cephalosporin. Conclusion Atypi- cal pulmonary infection should be under consideration after abdominal surgery, and G- bacteria sensitive antibiotics should be applied immediately to prevent the respiratory dysfunction from the onset.

关 键 词：腹部手术肺部感染 临床新特征 

分 类 号：R619.3[医药卫生—外科学]