自发性脑出血开颅术后合并肺部感染37例治疗体会  

Experience on 37 Cases of Pulmonary Infection After Craniotomy in Patients With Spontaneous Intracerebral Hemorrhage

作　　者：舒张 邱玉发[1] 左刚[1] 许悦[1] 

机构地区：[1]江苏省太仓市第一人民医院神经外科,江苏太仓215400

出　　处：《中国继续医学教育》2016年第36期95-96,共2页China Continuing Medical Education

摘　　要：目的探析自发性脑出血患者开颅手术后合并肺部感染的临床治疗效果。方法选取2012年6月~2016年6月收治的自发性脑出血开颅手术后合并肺部感染的37例患者作为研究对象,均给予痰液培养,早期气管切开,加强营养支持等治疗,对治疗效果进行回顾性分析。结果治疗后,治愈20例,好转10例,无效7例,总有效率为81.08%。本组患者感染控制时间为4~12 d,平均控制时间为（8.0±2.4）d,肺部啰音消失时间（4.6±1.2）d、肺部病灶吸收时间（10.5±3.6）d、治愈时间（12.0±3.2）d。结论自发性脑出血开颅术后给予早期气管切开、营养支持等治疗,可提高治愈率,缩短治疗时间。Objective To investigate the clinical effect of craniotomy in patients with spontaneous intracerebral hemorrhage after pulmonary infection. Methods 37 patients with pulmonary infection from June 2012 to June 2016 were treated with sputum culture were selected as the study object, early tracheotomy and nutritional support. The treatment effect Were retrospectively analyzed. Results After treatment, 20 cases were cured, 10 cases improved, ineffective in 7 cases, the total effective rate was 81.08%. The time of infection control in this group was 4 ~ 12 d, mean（8.0±2.4） d, duration of pulmonary rales（4.6±1.2） d, pulmonary lesions absorption time（10.5±3.6） d, the cure time（12.0±3.2） d. Conclusion Since the occurrence of cerebral hemorrhage after craniotomy to give early tracheotomy, nutritional support and other treatment,can improve the cure rate, shorten the treatment time.

关 键 词：自发生脑出血 开颅手术 肺部感染 

分 类 号：R719.8[医药卫生—妇产科学]