气管切开术后继发肺部感染分析  

Secondary Pulmonary Infection in Patients with Intracranial Hematoma Combined with Hernia after Hematoma Evacuation and Tracheotomy

作　　者：郑佳坤[1] 赖素勇[1] 陈默蕊[1] 郝建[1] 吴伟珠[1] 詹永忠[1] 

机构地区：[1]潮州市中心医院,广东潮州521000

出　　处：《中华医院感染学杂志》2002年第8期571-573,共3页Chinese Journal of Nosocomiology

摘　　要：目的 调查颅内血肿并脑疝开颅术后气管切开患者肺部感染的致病菌群及药敏情况。方法 对留置气管套管患者,出现痰多、黄,发热者行痰液采样培养及药敏试验。结果 患者感染菌种主要为铜绿假单胞菌占27.0％,金黄色葡萄球菌占15.3％,表皮葡萄球菌占14.1％,鲍曼不动杆菌占9.8％;革兰阴性菌敏感抗生素有哌拉西林、头孢他啶、亚胺培南;革兰阳性菌敏感抗生素有万古霉素、利福平。结论 肺部感染致病菌以铜绿假单胞菌及金黄色葡萄球菌多见,及时行痰液培养,合理选用抗生素,能迅速有效地控制脑手术后气管切开患者的肺部感染,提高颅内血肿并发脑疝患者的治愈率。OBJECTIVE To investigate pulmonary infection condition due to pathogenic bacteria and drug-sensitive test in patients with intracranial hematoma combined with cerebral hernia after tracheotomy. METHODS Sputum was taken to culture and drug-sensitive test was performed when patients in tracheotomy has plenty of sputum and sputum turned yellow; patients were in fever. RESULTS Pathogenic bacteria Pseudomonas aerugi-nosa (27. 0%), Staphylococucs aureus(15. 3%), S. epidermidis(14. 1%) and Acinetobacter baumannii(9. 8%) were found in most of 101 cases. Sensitive antibiotics were imipenem/cilastatin, cefazidime and piperacillin. CONCLUSIONS Main pathogenic bacteria of pulmonary infection in patients with tracheotomy were P. aerugi-nosa and S. aureus, culture in time and selection of antibiotics reasonably could curb pulmonary infection in patients with intracranial hematoma combined with hernia and elevate the cure rate.

关 键 词：术后 颅内血肿 气管切开 肺部感染 痰培养 

分 类 号：R655.3[医药卫生—外科学] R563.1[医药卫生—临床医学]