摘要
目的 探讨插管全麻剖胸术后肺部感染的影响因素及防治措施。方法 比较插管全麻胸部手术与其他部位手术的感染率及氧合状况 ,并对病原学标本进行细菌培养及药敏实验。结果 剖胸术后肺部感染率 (2 0 3% )明显高于其他手术部位 (11 5 % ) ,P <0 0 1;反映氧合状况的PaO2 (94 5± 9 2 )、PaO2 /FiO2 (2 5 5± 2 4 9)明显低于其他手术部位 ,P <0 0 1;致病菌以革兰阴性杆菌为主 ,占 79 2 % ;革兰阳性球菌亦占了 2 0 8%。结论 插管全麻剖胸术后肺部感染率高 。
OBJECTIVE To inquire affected factors and prevention measures of pneumonia after endotracheal intubation and thoracotomy with general anesthesia. METHODS Its infection rate and oxygenation were compared with other side operation, and to use bacterial culturing and drug sensitive test for pathogenic samples. RESULTS The lung infection rate after thoracotomy(20.3%) was higher apparently than after other site operation (11.5%), P<0.01. The PaO 2(94.5±9.2) and PaO 2/FiO 2(255±24.9) were apparently lower than the latter [PaO 2(112 0±8.9) and PaO 2/Fio 2(303.0±4.9)], P<0.01. The main pathogens were Gram negative bacteria, and Gram positive cocci (20.8%). CONCLUSIONS After endotracheal in tubation and thoraco tomy with general anesthesia the lung infection rate is the highest, the airway management must be strengthened and the oxygenation status must be improved.
出处
《中华医院感染学杂志》
CAS
CSCD
2004年第6期622-623,共2页
Chinese Journal of Nosocomiology
