| 引起重型颅脑损伤合并肺部感染的相关因素及预防对策 |
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| 引用本文： | 陈云峰.引起重型颅脑损伤合并肺部感染的相关因素及预防对策[J].中华医院感染学杂志,2010,20(5). |
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| 作者姓名： | 陈云峰 |
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| 作者单位： | 浙江省象山县红十字台胞医院神经外科,浙江,象山县,315731 |
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| 摘 要： | 目的 探讨引起重型颅脑损伤合并肺部感染的相关因素及预防措施.方法 回顾性分析神经外科收治的150例重型颅脑损伤的临床资料,发生肺部感染的60例作为观察组,无肺部感染的90例作为对照组,对可能引起肺部感染的相关因素进行比较.结果 肺部感染的发生率为40.0%;肺部感染的与性别、预防应用广谱抗菌药物无关(P＞0.05);相关因素包括:年龄大,GCS计分低,有呕吐、脑脊液漏,脱水剂、抑酸剂、激素长时间应用,进行侵入性操作(P＜0.05).结论 重型颅脑损伤肺部感染率较高,与多种因素有关,可采取保持患者内环境稳定、合理应用抗菌药物、实施各种侵入性操作时加强管理、缩短抑酸剂激素应用时间等措施预防.
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| 关 键 词： | 重型颅脑损伤 肺部感染 相关因素 预防 |
Relevant Factors and Preventive Measures of Severe Brain Injury with Pulmonary Infection |
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| CHEN Yun-feng.Relevant Factors and Preventive Measures of Severe Brain Injury with Pulmonary Infection[J].Chinese Journal of Nosocomiology,2010,20(5). |
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| Authors: | CHEN Yun-feng |
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| Institution: | CHEN Yun-feng(Red Cross Taiwan Compatriot Hospital of Xiangshan County,Xiangshan,Zhejiang 315731,China) |
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| Abstract: | OBJECTIVE To explore the relevant factors and preventive measures against the severe brain injury with pulmonary infection. METHODS The clinical data of 150 cases of severe brain injury treated in our department were analyzed retrospectively. Sixty cases with pulmonary infection were in the observation group,and 90 cases without pulmonary infection were in the control group. The relavent factors of pulmonary infection were compared. RESULTS The incidence of lung infection was 40.0%. Pulmonary infection was ... |
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| Keywords: | Severe brain injury Lung infection Related factors Prevention |
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