神经外科重症患者院内肺部感染的病因病菌分析

In the neurosurgery department critically ill patient courtyard the lungs infect the cause of disease germ analyzes

目的：探讨神经外科重症患者院内肺部感染的病因、病菌.方法：选取本院2009年2月-12月收住的神经外科重症监护病房患者42例,对住院期间发生院内肺部感染的相关资料进行回顾性分析,并查明引发肺部感染的病因与病菌.结果：42例院内肺部感染患者的病因为气管切开、气管插管20例,基础疾病12例,呼吸机管路污染6例,吸痰操作或吸痰物品未达到无菌要求4例 病菌类型主要为铜绿假单胞菌、鲍曼不动杆菌、肺炎克雷伯菌、真菌、革兰阳性菌等.结论：在现代神经外科的临床治疗中,医院必须严格规范重症患者院内肺部感染的预防措施,并且严格按照无菌规定进行操作,合理应用对患者身体机能刺激性较大的抗生素类药物等对有效控制院内感染事故的引发都有重要的意义.

Objective：In the discussion ncurosurgery department critically ill patient courtyard the lungs infect cause of disease, germ, Methods：Selects neurosurgery department critically ill guardianship hospital ward patient 42 examples which this courtyard in February, 2009 -- in December receives,to in hospital period has the correlation data which in the courtyard the lungs infect to carry on the review analysis,and verifies the cause of disease and the germ which the initiation lungs infect. Results：In 42 example courtyards the lungs infect patient＇s cause of disease for the tracheotomy,the trachea insert a tube 20 examples, the foundation disease 12 examples, the life--support machine pipeline pollute 6 examples, attracts the phlegm operation or attracts the phlegm goods not to achieve the asepsis requests 4 examples;The germ type mainly is the verdigris pscudomonad, the Bao graceful motionless bacillus,pneumonia gram Reber fungus,the fungus,the leather blue masculine fungus and so on. Conclusion： In the modern neurosurgery department＇s clinical treatment,the preventive measure which the hospital must in the strict standard critically ill patient courtyard the lungs infect, and according to the asepsis stipulated strictly carries on the operation, the reasonable application and so on infects the accident to the patient body function irritating quality big antibiotic class medicine to the active control courtyard in the initiation all to have the vital significance.