摘要
本文对我科ICU中79例气管切开后病人继发肺部感染的情况进行分析。其发生率为32.9%,主要是高度耐药性的革兰氏阴性杆菌混合性感染,使用呼吸机组发生率明显高于未使用组(P<0.01),预防性使用抗生素对继发肺部感染影响不大(P>0.05)。本文又对有效的抗生素应用及预防措施进行了讨论。
79 post-tracheostomy patients were clinically ana-lyzed in our intensive care unit from May 1988 to August1991.32.9% of the patients developed secondary pul-monary infections which were more frequent in patientswith adult respiratory distress syndrome,craniocerebraland spinal injuries.The predominant pathogens culturedwere highly respiratory distress syndrome,craniocerebraland spinal injures.The predominant pathogens culturedwere highly resistant gram-negative bacilli.The patientswho received mechanical ventilations were more oftenpredisposed to pulmonary infections than those who didnot(P<0.01).Proventive administration of antibioticsdid not appear to influence the incidence of pulmonary in-fection(P<0.05).The effective antibiotics and preven-tive measures were disussed.
出处
《中国危重病急救医学》
CAS
CSCD
1992年第3期141-143,共3页
Chinese Critical Care Medicine
