摘要
目的分析肺癌患者手术后肺感染因素及治疗措施,为临床提供参考资料。方法选择2001年5月-2012年5月进行手术治疗的肺癌患者106例,观察患者是否发生肺部感染,分析感染因素并积极采取相应的治疗措施,观察患者的临床结局。结果本组106例肺癌患者手术后发生肺部感染19例,发生率为17.9%,其中,革兰阳性菌感染7例占36.8%;革兰阴性菌感染12例占63.2%;术后肺部感染的发生受到患者年龄、肺癌分期、住院时间的影响(P<0.05);经过积极的药物治疗,治愈15例,好转3例,无效1例,总有效率达到94.7%。结论临床医师了解肺癌患者手术后肺感染因素并能够积极采取正确合理的治疗措施,可以有效控制感染,获得较佳的临床结局。
OBJECTIVE To analyze the factors of pulmonary infections in the lung cancer patients after the surgery and its treatment so as to provide reference information for the clinical treatment.METHODS A total of 106 lung caner patients,who underwent surgery from May 2001 to May 2012,were chosen as the research subjects.The patients were observed to examine whether they were with pulmonary infections or not,the factors for pulmonary infections were analyzed so as to put forward the corresponding treatment measures,and the clinical outcomes of the patients were observed.RESULTS Of 106 lung cancer patients investigated,the pulmonary infections occurred in 19 patients with the incidence rate of 17.9%,among which there were 7（36.8%） cases with gram-positive cocci infections and 12（63.2%） cases with gram-negative bacteria infections.The incidence of postoperative pulmonary infections was affected by the age of patients,lung cancer staging,and the hospital stay（P0.05）.After positive drug treatment,15 cases were cured,3 cases improved,and 1 case ineffective,with the total effective rate of 94.7%.CONCLUSION The clinicians should understand the factors for postoperative infections in the lung cancer patients and take reasonable treatment measures,which will contribute to the effective control of nosocomial infections and help achieve better clinical outcomes.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第4期806-807,共2页
Chinese Journal of Nosocomiology
关键词
肺癌
肺部感染
手术
Lung cancer
Pulmonary infection
Surgery
