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脑出血患者院内肺部感染危险因素分析与对策 被引量:5

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摘要 目的探讨脑出血患者并发院内肺部感染的危险因素,以及采取有效控制措施。方法对我院2007年9月至2009年9月治疗的124例脑出血患者进行院内肺部感染及其危险因素的回顾性分析。结果脑出血并发院内肺部感染32例,院内肺部感染发生率为25.81%。高龄患者、有肺部疾病史、住院时间长、呼吸机的使用、气管插管/切开、吸烟史是院内肺部感染发生的危险因素。结论脑出血患者院内肺部感染发生率高,应引起重视,尽可能把脑出血并发院内肺部感染控制到最低限度。
作者 王艳丽
出处 《中外医疗》 2010年第11期51-51,126,共2页 China & Foreign Medical Treatment
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  • 1戴毅,张伟,薛中南,杨军.重型颅脑损伤并发急性呼吸衰竭80例分析[J].陕西医学杂志,1996,25(5):311-311. 被引量:9
  • 2Crouch BS, Wunderink RG, Jones CB, et al. Ventilator-associated pneumonia due to Pseudomonas aeruginosa [J]. Chest,1996, 109(4): 1019.
  • 3Solca M, Colucia P, Romeo C, et al. Changing pattern of microbial colonization and infection of ICU patients in the nineties[J]. Intensive Care Med, 1997, 23: Suppl 1s-124s.
  • 4Mathews PJ, Mathews LM. Reducing the risks of ventilatorassociated infections [J ]. Dimens Crit Care Nurs, 2000, 19 :17-21.
  • 5Franciolip, Chastre J, Langer M, et al. Ventilator-associated pneumonia [J]. Clin Microbiol Infect, 1997, 3 Suppl 1: S61-S71.
  • 6Tryba M. Gastric alkalinization, and systemic infection: the controversy [J]. Scand J Gastroenterol Suppl, 1995, 210:53.
  • 7Finkelstein R, Rabino G, Kassis I, et al. Device-associated,device-day infection rates in an Israeli adult general intensive care unit[J]. J Hosp Infect, 2000, 44: 200-205.
  • 8Koemer RJ. Contribution of endotracheal tubes to the pathogenesis of ventilator-associated pneumonia[J]. J Hosp Infect,1997, 35: 83-89.
  • 9Graven DE, Streger KA. Nosocomial pneumonia in mechanically ventilated adult patients: epidemiology and prevention[J]. Semin Respir Infect, 1996, 11(1): 32.
  • 10Rello J, Gallego M, Mariseal D, et al . The value of routine microbial investigation in ventilator-associated pneumonia[J].Am J Respir Crit Care Med, 1997, 156: 196-200.

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  • 1余江,肖颖彬,王仙园.选择性消化道去污染国内外研究现状及进展[J].重庆医学,2005,34(2):298-300. 被引量:2
  • 2杨晓燕,陈郁鲜,林妙霞,梁彩倩,刘智勇.脑出血患者医院内肺部感染的病原体及危险因素分析[J].实用医学杂志,2005,21(19):2165-2166. 被引量:48
  • 3中华神经外科学会.脑血管疾病分类及诊断.中华神经外科杂志,1997,.
  • 4吴小红.机械通气相关性肺炎的研究现状[J].中华感染学杂志,2003,13:895.
  • 5Jonge ED, Schuhz MJ, Spanjaard L, et al. Effects of selective decon- tamination of digestive tract on mortality and acquisition of resistant bac- teria in intensive care : a randomised controlled trial [ J ~ . Lancet, 2003, 362 (9389) : 1011 -1016.
  • 6Garbino J, Lew DP, Romand JA, et al. Prevention of severe Candida infections in nonneutropenic, high - risk, critically ill patients : a ran- domized, double - blind, placebo - controlled trial in patients treated by selective digestive decontamination [ J ] . Intensive Care Med, 2002, 28 (12): 1708-1717.
  • 7Gastinne H, Wolff M, Delatour F, et al. A controlled trial in intensive care units of selective decontamination of the digestive tract with nonab- sorbahle antibiotics (J]. N Engl J Med, 1992, 326:594 -599.
  • 8刘永,何斌,张玉宝.ICU脑外伤和脑出血患者肺部感染危险因素及细菌学分析[J].医药前沿,2012,2(17):131-132.
  • 9Elkind M S. Hospitalization for infection and risk of acute ischemie stroke: the Cardiovascular Health Study [ J ]. Stroke, 2011, 42 (7) : 1851 - 1856.
  • 10季学成,陈水钰,刘雪云,等.老年脑出血并发院内肺部感染73例致病菌分析与防治[J].医药前沿,2012,2(17):55-56.

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