急性心肌梗死患者医院感染的防治

目的探讨急性心肌梗死（AMI）患者医院感染的防治措施。方法对489例急性心肌梗死患者的临床资料进行前瞻性研究和回顾性分析。结果急性心肌梗死患者医院感染的发生与高龄、左室功能不全、前壁及多壁心肌梗死、延迟就诊、合并慢性支气管炎和糖尿病等、侵人性操作等密切相关；预防性应用抗生素并不能减少医院感染的发生。结论积极控制好各项与医院感染有关的因素，减少医院感染的发生有助于提高AMI患者的生存率；检测冠心病监护病房医院感染的细菌谱，合理应用抗生素能提高AMI医院感染的治愈率，缩短住院时间，从而有效提高AMI的整体救治水平。

The prevention and cure study of acute myocardial infarction with hospital infection

Objective To explore the prevention and cure measure of acute myocardial infarction with hospital infection. Methods The clinical datas of 489 patients with acute myocardial infarction were prospectivdy studied and retrospectively analyzed. Results The incidennce of AMI was closely relative to great age, left ventricular dysfunction, anterior wall and multitude walls myocardial infarction, delayed visit, chronic bronchitis, diabetes, virulence manipulation, the application of preventive antibiotic could not reduce the incidennce rate of hospital irfection. Conclusion To control the correlation factors to hospital infection and to reduce the incidennce rate of hospital infection are helpful to raise the survival rate of AMI ,to detect the the bacteria spectrum of hospital infection in CCU and to reasonablely apply the antibioti can increase the healing rate of acute myocardial infarction with hospital infection, shorten the length of stay and raise the global remedy level of AMI.