高血压脑出血术后早期气管切开对防止肺部感染的影响

The effect of early racheostomy to prevent the lung infection after hypertensive intracerebral hemorrhage operation

目的:研究高血压脑出血术后早期行气管切开对防止肺部感染的影响.方法:选择高血压脑出血(出血量≥40ml)、急诊开颅手术后≤24h气管切开患者30例,另急诊开颅手术后未于早期气管切开(即切开时间＞24h或未行气管切开的患者)30例,所有患者术后均用抗生素头孢三代静滴预防感染.结果:39例患者出现肺部感染,其中实验组12例,有9例感染控制,感染控制时间4～10d,平均6.5d;对照组27例,有12例感染控制,感染控制时间10～20d,平均17.2d;高血压脑出血术后早期行气管切开肺部感染率和控制感染平均时间均显著低于未早期行气管切开患者(P＜0.01),而感染控制率显著高于未早期切开者(P＜0.05).结论:早期气管切开能有效防止高血压脑出血术后并发的肺部感染.

Objective： To study the effect of early racheostomy to prevent the lung infection after hypertensive intracerebral hemorrhage operation. Method： 30 hypertensive intracerebral hemorrhage patients （bleeding amount≥40ml） were given tracheostomy early after the operation, another 30 patients were not given tracheostomy early, all patients with antibiotic to prevent infection. Result： The lung infective rate and the time to control infection have significant difference among the two groups（P 〈 0.01）, and the controlling infection rate has significant difference, too （P 〈 0.05）. Conclusion： Early tracheostomy can control the lung infection effectively.