冠状动脉搭桥手术切口感染及耐药性分析  

Infection of Incisional Wound Following Coronary Bypass Operation and Antibiotic Resistance

作　　者：崔敏[1] 吴克慧[1] 涂茹[1] 

机构地区：[1]武汉亚洲心脏病医院检验中心,武汉430030

出　　处：《华中科技大学学报（医学版）》2003年第5期564-566,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的　探讨冠状动脉搭桥手术切口感染的相关因素及耐药性。方法　选择亚洲心脏病医院 2 97例冠状动脉搭桥手术中 11例切口感染患者进行分析比较。结果　 11例切口感染患者全部表现出术后高血清葡萄糖和低蛋白血症 ;切口感染的病原菌主要是表皮葡萄球菌 ,其中 75 %耐苯唑西林。结论　高血清葡萄糖和低蛋白血症是该院冠状动脉搭桥手术切口感染的主要因素之一 ,革兰阳性球菌是冠状动脉搭桥手术切口感染的主要病原菌 ,阿米卡星、氧氟沙星对耐苯唑西林表皮葡萄球菌耐药性较低。Objective To discuss the relative factors for infection of incisional wound following coronary bypass operation and antibiotic resistance. Methods The clinical data of 11 cases of infection of incisional wound from 297 patients undergoing coronary bypass operation in our hospital were retrospectively analyzed. Results Hyperglycemia and hypoproteinemia occurred in all 11 patients. The major pathogen for the infection of incisional wound was epidermal staphylococcus, and 75 % of which was resistant to oxacillin. Conclusion Hyperglycemia and hypoproteinemia were the major risk factors for the infection of incisional wound after coronary bypass operation. Gram positive coccus was the major pathogen for the infection of incisional wound after coronary bypass operation. Amikacin and levofloxacin were also effective on the epidermal staphuylococcus resistant to oxacillin.

关 键 词：冠状动脉搭桥手术 切口感染 耐药性分析 病原菌 葡萄球菌 

分 类 号：R654.3[医药卫生—外科学] R619.3[医药卫生—临床医学]