心脏直视术后中老年患者纵隔感染的危险因素分析  

Analysis of risk factors in elderly patients with mediastinal infection after open heart surgery

作　　者：张东[1] 卫向阳[2] 吕姝焱[1] 卜威振 张怡然[1] 鲁小晴 

机构地区：[1]河南科技大学医学院临床医学系,洛阳市471000 [2]河南科技大学第一附属医院心脏外科

出　　处：《中国心血管病研究》2014年第3期208-209,共2页Chinese Journal of Cardiovascular Research

摘　　要：目的 探讨经心脏直视术后纵隔感染的危险因素及临床意义.方法 我院于2010-2012年间共施行1369例心脏直视手术,选取102例经胸骨正中切口患者,其中61例为术后出现纵隔感染患者,将102例患者的年龄、性别、吸烟史、肥胖、糖尿病、高血压、术后肺部感染、心脏病家族史、体外循环时间进行logistic分析,筛选出纵隔感染的危险因素.结果 吸烟史、糖尿病、术后肺部感染、体外循环时间为心脏直视术后纵隔感染的危险因素.结论 充分评估纵隔感染的危险因素,以便术前及术后采取针对化治疗措施,为避免术后纵隔感染提供临床参考依据.Objective To explorethe risk factors of mediastina after cardiac surgery.Methods 102 cases of 1369 patients performed undergoing cardiac surgery in our hospital were selectedbetween 2010 to 2012,including 61 cases of mediastina patients.They were analyzed by logistic according age,gender,history of smoking,obesity,diabetes,hypertension,postoperative pulmonary infection,family history of heart disease,caxdiopulmonary bypass time,then we could determine the risk factors of mediastina infection.Results History of smoking,diabetes,postoperative pulmonary infection,cardiopulmonary bypass time were the risk factors of mediastina infection after cardiac surgery.Conclusion Fully assessing risk factors for mediastina,we could take treatment measures before and after the operation,and provide clinical reference to avoid postoperative mediastina infection.

关 键 词：心脏手术 纵隔感染 危险因素 

分 类 号：R654.2[医药卫生—外科学]