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心胸外科疾病手术后获得性肺炎的防治探讨 被引量:2

Investigation of Prevention and Treatment of Acquired Pneumonia After Cardiothoracic Surgery
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摘要 目的对心胸外科疾病手术后获得性肺炎的防治措施进行探讨。方法选取2017年4月-2019年4月在医院进行心胸外科手术治疗的468例患者,随机分为对照组和实验组,每组234例,记录术后患获得性肺炎的人数,探究手术后获得性肺炎的致病原因和具体防治措施的意义。结果患者的年龄、术前并发症、FEV1%以及手术时间都会对其产程影响。且进行全方位防治后,心胸外科疾病手术后获得性肺炎的发生率为1.71%,小于未进行全方位防治5.56%的发生率,差异有统计学意义(P <0.05)。结论针对心胸外科手术,采取全方位防治,能有效降低术后获得性肺炎的发生率。 Objective To probe into the prevention and treatment of acquired pneumonia after cardiothoracic surgery. Methods 468 cases of patients who underwent cardiothoracic surgery in our hospital from April,2017 to April,2018 were selected, and the patients were randomly divided into control group and experimental group, with 234 cases in each group. Then the number of patients with acquired pneumonia after operation were recorded, and the causes of post-operative acquired pneumonia and the significance of specific prevention and treatment measure were explored. Results The patient’s age, preoperative complications, FEV 1% and operation time will affect the birth process. After all-round prevention and control and prevention, te incidence of acquired pneumonia after cardiothoracic surgery was 1.71%,which was less than without comprehensive nursing of 5.56%,and the difference was statistically significant(P < 0.05). Conclusion The comprehensive prevention and control for cardiothoracic surgery which can effectively reduce the incidence of post-operative acquired pneumonia.
作者 文习武 赖鸿章 温树权 郭渝 张玉平 WEN Xiwu;LAI Hongzhang;WEN Shuquan;GUO Yu;ZHANG Yuping(Department of Cardiothoracic Surgery,Dongguan Donghua Hospital,Dongguan Guangdong 523000,China)
出处 《中国继续医学教育》 2019年第36期81-83,共3页 China Continuing Medical Education
关键词 心胸外科疾病 外科手术 获得性肺炎 防治 感染 术前并发症 cardiothoracic surgical diseases surgery acquired pneumonia prevention and treatment infection preoperative complications
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