高血压脑出血术后肺部感染42例相关因素分析

目的:探讨高血压脑出血术后患者医院肺部感染发生的相关因素及防治方法。方法:对42例院内肺部感染者和同期132例未发生院内肺部感染者进行对照观察,采集痰液标本进行细菌培养和药物敏感试验。结果:术后院内肺部感染发生率为24.14%,年龄、慢性肺病、哥拉斯哥昏迷评分(GCS)、出血量是院内肺部感染的重要因素,感染组患者的预后明显差于非感染组,住院时间长。痰培养显示病原体以革兰阴性菌为主。结论:高血压脑出血术后患者肺部感染是多种因素相互作用的结果,减少医源性感染的危险因素,检测病原体,合理使用抗生素,加强对患者的护理,有利于减少院内肺部感染的发生,降低病死率。

Pulmonary infection analysis after hypertensive cerebral hemorrhage operation

Objective：To explore the relative factors and preventive measures of in-hospital pulmonary infection after hypertensive cerebral hemorrhage operation.Methods：174 cases of hypertensive cerebral hemorrhage patients were retrospectively analyzed.42 cases of in-hospital pulmonary infection patients were compared with 132 non-infective cases by sputum culture and drug sensitive test.Results：The incidence of postoperative in-hospital pulmonary infection was 24.14%.The age,chronic pulmonary disease,GCS score and bleeding volume were the important factors for in-hospital pulmonary infection;In the infection group,the hospitalization period was the longer,prognosis was the worse than those in the non-infection group.Sputum culture revealed that the main pathogen was Gram negative bacteria.Conclusion：The postoperative in-hospital pulmonary infection is a multiple pathogenic disease.Controling iatrogenic factors,detecting pathogens,reasonable administration of antibiotics and medical care will be beneficial in restricting in-hospital pulmonary infection.