10年心脏手术后感染调查分析  

Infection after Heart Operation in the Past 10 Years: An Investigation and Analysis

作　　者：刘苏[1] 陈淑敏[1] 李晓恒[1] 杜华[1] 张峥[1] 许静[1] 

机构地区：[1]洛阳市中心医院,河南洛阳471009

出　　处：《中华医院感染学杂志》2003年第5期433-435,共3页Chinese Journal of Nosocomiology

摘　　要：目的　通过对 10年心脏手术术后感染情况的调查总结分析 ,以求为减少心脏手术后的感染提供借鉴。方法　对 10年心脏手术患者不同年龄、不同病种、不同并发症与术后感染的关系进行分析。结果　心脏手术后1116例总感染率 9.76 % ,直接引起死亡 4例 ,占感染人数的 3.6 6 % ;术后感染以呼吸系统最多达感染人数的5 4 .11% ;凶险感染以感染性心内膜炎为最多 ,死亡率为发病的 75 % ;不同年龄和不同病种的多发感染不同 ,有其他并发症者术后感染概率显著增加。结论　心脏手术术后感染率较高 ,除一般外科手术的危险因素外 ,有其本身的特异性因素 ,因此 ,术前准备、手术中和术后 ICU中的治疗及控制感染的管理非常重要。OBJECTIVE To investigate and analyze the infection after heart operation in the past 10 years in aim to reduce it. METHODS The relationship of different ages, diseases and complications with postoperation infection was analyzed. RESULTS The total infection rate was 9.76% in 1 176 cases after heart operation, the death rate among infected cases was 3.66%. The pulmonary infection (54.11%) was the most common. The infectious endocarditis is the most dangerous complication with death rate 75%. Different multiple infections were occured in patients with different age. The patients with other complications were easier to be infected. CONCLUSIONS The infection rate after heart operation is high, because it has special own reasons, besides the ordinary reason in surgical operation. So, it is very important for preoperative preparation, intraoperative therapy and postoperative managemcent in ICU.

关 键 词：心脏手术 术后感染 

分 类 号：R654.2[医药卫生—外科学]