| 重度颅脑外伤患者气管切开术后并发肺部感染病原菌分析 |
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| 引用本文： | 宣宏飞. 重度颅脑外伤患者气管切开术后并发肺部感染病原菌分析[J]. 中华医院感染学杂志, 2011, 0(20): 4383-4384 |
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| 作者姓名： | 宣宏飞 |
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| 作者单位： | 杭州市萧山区第一人民医院神经外科,浙江杭州,311200 |
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| 摘 要： | 目的了解重度颅脑外伤患者气管切开术后并发肺部感染的病原菌特点,为临床用药提供依据。方法收集医院2008年2月-2011年2月收治的60例颅脑外伤患者的病例资料,分析其气管切开术后并发肺部感染的呼吸道分泌物细菌培养及药敏试验结果。结果送检267份痰标本,培养阳性199份,阳性率为74.53%;革兰阴性菌147株,占73.87%,革兰阳性菌40株,占20.10%,真菌12株,占6.03%;铜绿假单胞菌、鲍氏不动杆菌、大肠埃希菌、肺炎克雷伯菌对亚胺培南的敏感性较强,革兰阳性菌中未发现有耐万古霉素菌株。结论重度颅脑外伤并发肺部感染患者主要以革兰阴性菌感染为主,病原菌流行病学及药敏试验的测定对临床合理应用抗菌药物有重要意义。
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| 关 键 词： | 神经外科 颅脑外伤 气管切开术 病原菌 |
Analysis of pulmonary infections caused by pathogens in patients with sever craniocerebral trauma after tracheotomy |
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| XUAN Hong-fei. Analysis of pulmonary infections caused by pathogens in patients with sever craniocerebral trauma after tracheotomy[J]. Chinese Journal of Nosocomiology, 2011, 0(20): 4383-4384 |
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| Authors: | XUAN Hong-fei |
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| Affiliation: | XUAN Hong-fei(Xiaoshan First People′s Hospital,Hangzhou,Zhejiang 311200,China) |
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| Abstract: | OBJECTIVE To understand the characteristics of the pathogens causing pulmonary tract infections in severe craniocerebral trauma patients after tracheotomy,to provide bases for clinical application of antibiotics.METHODS The clinical data of 60 cases of patients with sever cerebral trauma from Feb 2008 to Feb 2011 were collected.The secretion from respiratory tract with pulmonary infections were analyzed and the drug susceptibility test was performed.RESULTS Of the submitted 267 cases of sputum specimens,199... |
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| Keywords: | Neurosurgery Brain trauma Tracheotomy Pathogens |
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