摘要
目的探讨老年患者全身麻醉下进行上腹部手术术后并发肺部感染的原因,为其预防提供依据。方法以医院2007年1月-2010年12月进行全身麻醉下上腹部手术的1256例老年患者为研究对象,对其发生肺部感染因素及痰菌培养结果进行统计分析。结果≥70岁患者肺部感染率为10.31%,高于<70岁者的5.63%,手术时间>2 h患者感染率为10.46%,高于≤2 h者的5.40%,术后呼吸道分泌物的清理及时者感染率为6.59%,低于未及时清除者的15.69%,术后早期活动者感染率为5.14%,低于晚期活动者的12.34%,吸烟者的感染率为10.54%,高于不吸烟者的4.90%,差异均有统计学意义(P<0.05);痰菌培养以铜绿假单胞菌、大肠埃希菌及肺炎链球菌等为主,分别占27.45%、22.55%、19.61%。结论老年患者全身麻醉下进行上腹部手术后并发肺部感染的发生与多种因素有关,感染病原菌种类较多,治疗过程应引起重视。
OBJECTIVE To explore the reason that elderly patients with upper abdomen surgery combined with pulmonary infection,and to provide the treatment basis.METHODS From Jan 2007 to Dec 2010,we collected 1256 case of abdominal surgery patients as the research object,all of which were under anesthesia surgery.Of which 92 cases has been pulmonary infection.We analyzed the infected sputum and factors using statistics.RESULTS Through the analysis,we found that the patients with age 70 years（10.31%） has a higher lung infection rates than those 70 years old（5.63%）;at the time of the operation, 2 h patients was higher（10.46%） than people（5.40%） less than 2 h;Postoperative respiratory secretions cleaning was lower than（6.59%） those not cleared in time（15.69%）;The early postoperative adanced activists was（5.14%） lower than（12.34%） those don′t have a early postoperative patients;Smokers has a higher rate（10.54%） than those non-smokers（11.15%）.All of the difference has been significant（P0.05）.The infected bacterium was main in Pseudomonas aeruginosa（27.45%）,Escherichia coli（22.55%） and Pneumonic diplococcus（mainly 19.61%）,etc.CONCLUSION Elderly patients after the whole abdominal surgery have a high adventure in the occurrence of concurrent lung infection which were related with many factors,and the pathogen sort is diversity.The treatment process should be taken seriously.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第12期2469-2470,共2页
Chinese Journal of Nosocomiology
关键词
老年
上腹部手术
全身麻醉
术后
肺部感染
Elderly
Abdominal surgery
General anesthesia
Postoperative
Lung infection
