腹部术后肺部感染的原因分析及预防

Pulmonary Infection after Abdominal Surgery:Cause Analysis and Prevention

目的降低腹部大手术后患者并发肺部感染的发生率。方法对2004年10月-2005年10月402例腹部大手术患者发生肺部感染的原因进行回顾性分析,同时采取有效的预防措施。结果33例肺部感染患者经积极治疗和护理,效果满意;其他369例患者未发生肺部感染。结论手术麻醉的方式、术后切口的疼痛、环境和空气的污染等,是术后肺部感染的易感因素;做好术前指导,有计划地进行呼吸训练,术后保持呼吸道通畅,有效减轻切口疼痛及控制感染,防止环境和空气的污染,是预防肺部感染的较好护理措施。

OBJECTIVE To lower the incidence of postoperative pulmonary infection in abdominal major operation. METHODS We performed a retrospective trial analysis on pulmonary infection after major abdominal operation in 402 cases from Oct 2004 to Oct 2005, and in the meanwhile effective preventive procedures were conducted. RESULTS Thirty three cases with pulmonary infection went wed with active treatment and nursing. CONCLUSIONS The predisposing factors for postoperative infection include anesthetic method, incision pain, and environmental pollution. The better methods for prevention of pulmonory infection are good preoperative instruction, planned respiration training, keeping airway confluent postoperatively, effectively reducing incision pain, infection control, and preventing environmental and air pollution.