摘要
目的 了解气管插管和气管切开术后并发肺部感染的相关因素 ,探讨预防的方法。方法 对近3年我院收治的经气管插管和气管切开运用呼吸机治疗的 6 9例病人进行回顾性调查。结果 6 9例病人中48例术后出现肺部感染占 6 9.5 7%。致病菌主要为革兰氏阴性 (G-)菌 ,占 79.0 5 %,其中首位是铜绿假单胞菌 ,占 3 6 .5 9%;第二位是肺炎克雷伯氏菌和真菌 ,占 1 4.6 3 %。结论 气管插管和气管切开术后易并发肺部感染 ,致病菌以 G-菌为主。
Objective To understand the correlative factors that cause complicated pneumonia after tracheal intubation and tracheotomy, and explore the ways of prevention.Methods A retrospective survey had been done on 69 patients who were treated by artificial respiratory machine after tracheal intubaton and tracheotomy in our hospital in recent 3 years.Results 48 of the 69 patients complicated pneumonia, the rate was 69.57%; The major pathogens were G - bacterium, the rate was 79.05%; And the fist place was Pseudomonas aeruginasa, the rate was 36.59%; The second place was Klebsiella pneumoniae and fungi, the rate was 14.63%.Conclusions It is very easy to complicate pneumonia after tracheal intubation and tracheotomy, and the major pathogens were G - bacterium.
出处
《医学文选》
2003年第5期628-630,共3页
Anthology of Medicine
