食管贲门癌术后肺部感染的临床分析及护理对策

目的 食管贲门癌术后肺部感染因素的临床分析及制定护理对策.方法 回顾性分析医院2005年10月-2010年10月510例食管贲门癌手术患者临床资料,统计肺部感染发生率；比较术后肺部感染组与未感染组患者在术前、术中、术后各易感因素的差异.结果 肺部感染的发生率为18.0％；危险因素包括:高龄,营养不良,吸烟史,合并慢性阻塞性肺疾病(COPD),手术时间长,术中失血多,主动脉弓上吻合,是否采用静脉止痛泵(PCA),低蛋白血症等.结论 食管癌、贲门癌术后肺部感染率较高,与多种因素有关,加强围手术期管理,能够有效减少术后肺部感染.

Postoperative pulmonary infection in patients with esophageal carcinoma and corresponding nursing countermeasures

OBJECTIVE To explore the causes and nursing precaution of postoperative pulmonary infection of esophageal carcinoma.METHODS A total of 510 patients with esophageal carcinoma surgery in our department from Oct.2005 to Oct.2010 were analyzed retrospectively.The causes of infection before,during and after the operation were compared between the infection and non-infection group.RESULTS The infection rate was 18.0%,and the infection risks included old age,innutrition,smoking history,complicated with COPD,the operation time,aortic arch anastomosis,the use of intravenous analgesia pump(PCA),hypoproteinemia,etc.CONCLUSION The postoperative pulmonary infection rate in the patients with esophageal carcinoma is high due to many factors.Nursing intervention can effectively decrease postoperative pulmonary infection