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目的探讨重症监护病房(ICU)重型颅脑损伤患者继发肺部感染的相关因素。方法选取2013年8月至2015年9月于辽宁省营口市中心医院接受治疗的50例ICU重型颅脑损伤合并肺部感染患者作为研究对象,分析继发肺部感染的相关因素。结果 50例患者分离出64株病原菌,以革兰阴性杆菌为主;年龄偏高、吸烟、使用呼吸机、切管切开、长时间卧床及合并基础病症等因素均是导致重型颅脑损伤患者继发肺部感染的重要因素。结论需严格执行无菌操作,加强病房无菌管理,合理使用抗菌药物,以预防肺部感染的发生。
Objective To investigate the related factors of secondary pulmonary infection in intensive care unit (ICU) patients with severe craniocerebral injury. Methods From August 2013 to September 2015 in Yingkou Central Hospital of Liaoning Province, 50 cases of ICU patients with severe craniocerebral injury complicated with lung infection were selected as the research object to analyze the related factors of secondary pulmonary infection. Results Sixty-four pathogenic bacteria were isolated from 50 patients. Gram-negative bacilli were the main pathogens in the 50 patients. High age, smoking, use of ventilator, incision of the incision tube, prolonged bed rest and underlying diseases were the main causes of severe craniocerebral injury Secondary pulmonary infection is an important factor. Conclusion Strict implementation of aseptic operation, strengthen ward sterile management, rational use of antimicrobial agents to prevent the occurrence of pulmonary infection.