老年人上腹部全麻术后下呼吸道感染因素及病原学特点分析  

To analyse risk factors and pathogenic characteristics of lower respiratory tract infection under general anesthesia for eldly patients after upper abdominal surgery

作　　者：陈杰 徐利平 曹高健[2] 程向阳 孙广正[2] 宋胜江[2] 涂良水 

机构地区：[1]瑞安市塘下人民医院呼吸与危重症医学科,浙江温州325200 [2]瑞安市人民医院普外科,浙江温州325200 [3]瑞安市塘下人民医院检验科,浙江温州325200

出　　处：《温州医学院学报》2013年第2期127-129,共3页Journal of Wenzhou Medical College

摘　　要：目的:分析老年人上腹部全身麻醉术后下呼吸道感染(LRTI)的危险因素及病原学特点。方法:分析2008年1月至2009年12月本院上腹部全身麻醉术后老年患者61例临床资料。结果:61例上腹部全麻术后老年患者未发生LRTI 44例,发生LRTI 17例,感染发生率为27.9%,病原体检出率为58.8%(10/17),病原体以多重耐药的细菌、真菌为主。肿瘤、存在合并症、入住ICU等因素在两组资料中比较差异有统计学意义。结论:老年人上腹部全身麻醉术后LRTI可能与肿瘤、存在合并症、入住ICU相关。病原体以多重耐药的细菌、真菌为主。Objective： To analyse risk factors and pathogenic characteristics of lower respiratory tractinfection under general anesthesia for elderly patients after upper abdominal surgery. Methods： The clinical data of 61 elderly patients who underwent upper abdominal surgery under general anesthesia from Jan 2008 to Dec2009 were analyzed. Results： Of 61 cases ,the postoperative lower respiratory tract infection did not occur in 44 cases and occurred in 17 cases with the infection rate of 27.9%. The isolation rate of pathogen was 58.8% （10/17） and multidrug-resistant bacteria and fungi were predominant pathogens. In 44 cases with no lower respiratory tract infection and in 17 cases with lower respiratory tract infection, the cases of tumor were 4 and 5, the cases ofpresence of comorbidity were 18 and 12, the cases of admiting to ICU were 2 and 6 respectively. The difference of the risk factors in two groups were statistically signicant. Conclution： Tumor, the presence of comorbidityand admiring to ICU involve the progress of lower respiratory tract infection under general anesthesia for eldly patients after upper abdominal surgery. Multidrug-resistant bacteria and fungi are predominant pathogens.

关 键 词：老年人 上腹部手术 全身麻醉 呼吸道感染 危险因素 病原体 

分 类 号：R563[医药卫生—呼吸系统]