摘要
目的分析胸心外科急诊,包括气胸、胸部车祸伤、坠落伤、锐器伤等外伤的急诊手术处理及其与医院感染的相关因素,以提高此类疾病的治疗效果。方法对138例胸心外科急诊手术患者的临床资料,包括年龄、临床表现、急诊处理的选择等进行回顾性分析。结果全部患者均接受手术治疗,138例患者恢复良好,5例患者发生医院感染,经积极处理后痊愈出院。结论高龄、有慢性阻塞性肺部疾病及糖尿病等合并症的患者在围手术期易发生医院感染,早期闭式引流、及早开胸手术、积极地抗感染治疗对于此类患者的愈后至关重要。
OBJECTIVE To analyze the emergency surgical treatment for patients with pneumothorax,traffic trauma,fall trauma,sharp instrument injury in thoraco-cardiac department and the relationship with the nosocomial infection,in order to improve the treatment effect.METHODS The clinical data of 138 cases,including age,clinical feature and the emergency treatment,were retrospectively analyzed.RESULTS All of 138 cases of patients who accepted the operation recovered smoothly,5 cases got hospital infection and also recovered quickly after active management.CONCLUSION The patients with advanced age,COPD or diabetes mellitus are easily get the hospital infection during the perioperative period,closed drainage in early stage,earlier thoractomy and active antibiotic treatment are crucial to the recovery of the patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第1期68-69,共2页
Chinese Journal of Nosocomiology
关键词
医院感染
开胸探查
预防
Hospital infection
Thoractomy
Prevention
