摘要
目的探讨早期气管切开对预防和治疗重型颅脑损伤后肺部感染的作用。方法回顾性分析102例行气管切开的重型颅脑损伤患者的临床资料。结果伤后24h内气管切开组肺部感染（23例）低于伤后24h后气管切开组（41例）（P〈0．01）；伤后24h内气管切开组感染控制率（69．6％）显著高于伤后24h后气管切开组（31．7％）（P〈0．05）；感染控制时间（8．7d）也显著低于伤后24h后气管切开组（18．6d）（P〈0．01）。结论重型颅脑损伤后早期行气管切开可有效预防和治疗肺部感染。
Objective To disscuss the effect of tracheotomy on pneumonia in patients with severe cranial trauma. Methods The clinical information of 102 patients suffering severe cranial trauma after tracheotomy were analyzed retrospectively. Results The infection rate is lower than those of tracheotomy after 24 hours（ P 〈 0.01 ）; Infection control rate of server cranial trauma after tracheotomy in 24 hours was obviously higher than those of tracheotomy after 24 hours（P 〈 0.05） ; but contrary in control time（P 〈 0.01 ）. Conclusion Tracheotomy should be applied as soon as possible,it is important to prevent and cure pulmonary infection for patients who are suffering severe cranial trauma.
出处
《中国基层医药》
CAS
2008年第7期1130-1131,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颅脑损伤
感染
肺
气管切开术
Craniocerbral trauma
Infection
Lung
Tracheotomy
