论文部分内容阅读
目的分析ICU重型颅脑外伤患者出现肺部感染的临床特点及应对措施。方法将本院ICU病房2013年7月至2016年3月收治的30例重型颅脑外伤合并有肺部感染患者作为观察对象,分析引起肺部感染的主要因素、病原菌种类。耐药性情况。结果气管切开、呼吸机使用时间、年龄、抗生素与肺部感染有明显的相关性,病原菌检测结果以革兰氏阴性菌为主,常见的有铜绿假单胞菌、肺炎克雷伯菌等。格兰氏阳性菌主要以金黄色葡萄球菌、溶血葡萄球菌为主。对临床多种抗生素均有明显的耐药性,对头孢哌酮、万古霉素、亚胺培南的耐药性较低。结论 ICU重型颅脑外伤患者的肺部感染率高,明确容易引起肺部感染的常见因素,对患者进行病原菌检测,合理选择抗生素有利于降低肺部感染发生率。
Objective To analyze the clinical characteristics and countermeasures of pulmonary infection in patients with severe traumatic brain injury in ICU. Methods Thirty patients with severe craniocerebral trauma complicated with pulmonary infection admitted from July 2013 to March 2016 in our hospital were selected as the observation objects to analyze the main factors causing the pulmonary infection and the types of pathogens. Drug resistance. Results Tracheotomy, the use of ventilator time, age, antibiotics and pulmonary infection were significantly related to the pathogenic bacteria test results to Gram-negative bacteria, Pseudomonas aeruginosa, Klebsiella pneumoniae and other common . Gram-positive bacteria Staphylococcus aureus, mainly Staphylococcus haemolyticus. The clinical multi-antibiotics have obvious resistance, cefoperazone, vancomycin, imipenem lower resistance. Conclusion The incidence of pulmonary infection in ICU patients with severe craniocerebral trauma is high, and it is clear that the most common cause of pulmonary infection is clear. Pathogens detection of patients with ICU may be helpful to reduce the incidence of pulmonary infection.