胸部肿瘤患者术后肺炎的危险因素分析

目的探讨胸部肿瘤患者术后肺炎的病原菌分布及其危险因素。方法对医院ICU收治的279例胸部肿瘤术后患者进行回顾性分析,并对其病原菌进行检验。结果开胸术后肺炎以革兰阴性杆菌为主,占41.4%,革兰阳性球菌占32.6%,真菌占26.0%;高龄、严重基础疾病、先前广谱抗菌药物的应用、手术创伤、术后机械通气及侵入性治疗等为胸部肿瘤术后肺炎的危险因素。结论加强围手术期的综合管理措施是降低其发生率及病死率的重要手段。

Postoperative Pneumonia in Chest Tumor Patients

OBJECTIVE To investigate the common pathogens and predisposing factors of postoperative pneumonia in patients with chest tumor.METHODS The data of 279 cases of postoperative pneumonia for open chest surgery were analyzed retrospectively.RESULTS The prevalence of postoperative pneumonia for open chest surgery were mainly due to Gram-negative bacteria(41.4%).Gram-positive bacteria and fungis weighed 32.6% and 26%.The risk factors of postoperative pneumonia in chest tumor were aged,severe underlying disease, use of broad-spectrum antibiotics,surgery trauma,mechanical ventilation and invasive treatments patients.CONCLUSIONS It is very important to enforce the preoperative comprehensive management of open chest operation in order to reduce the incidence and mortality of postoperative pneumonia in chest tumor.