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目的分析神经外科手术患者颅内感染连续出现高发的危险因素,提出干预对策。方法采取目标性监测方法,对某医院神经外科2014年第二季度42例手术患者颅内感染病例进行发病因素调查与分析。结果该医院神经外科在2014年第二季度共发生医院感染60例,其中42例为颅内感染,占感染病例的70%。主要分布于神经血管外科、神经创伤外科和神经肿瘤外科,病例数依次为21例、12例和9例。该医院2014年上半年神经外科以脑血管疾患和严重脑创伤病例比较集中,较多的病人为开放性脑损伤和接受了脑室外引流,构成颅内感染主要危险因素。结论该医院神经外科手术后颅内感染出现了小高峰,发现有明确的危险因素,经采取严格消毒隔离措施,控制了感染发展趋势。
Objective To analyze the risk factors of consecutive high incidence of intracranial infection in patients undergoing neurosurgery and propose intervention measures. Methods To investigate the incidence of intracranial infection in 42 cases of surgical patients in the second quarter of 2014 in a department of neurosurgery by means of targeted monitoring. Results There were 60 nosocomial infections in the department of neurosurgery in the second quarter of 2014, 42 of which were intracranial infections, accounting for 70% of the cases. Mainly in neurovascular surgery, neurosurgery and neurosurgery surgery, the number of cases were 21 cases, 12 cases and 9 cases. Neurosurgery in the hospital in the first half of 2014 to cerebrovascular disease and severe brain injury cases are more concentrated, more patients with open brain injury and accepted intraventricular drainage, constitute the main risk factors for intracranial infection. Conclusion The intracranial infection after neurosurgery in this hospital showed a small peak, and it was found that there were definite risk factors. The strict disinfection and isolation measures were taken to control the trend of infection.