心胸外科术后患者呼吸道感染的因素及其临床治疗分析

Respiratory tract infection after cardiothoracic surgery in patients with clinical factors and analysis

目的探讨我院心胸外科患者术后呼吸道感染的因素及其临床治疗疗效。方法对我院心胸外科进行手术治疗后并发呼吸道感染的60例患者,根据手术种类、麻醉方式、原并发疾病及呼吸道感染部位进行分析,并对其临床疗效进行总结。结果我院心胸外科术后并发呼吸道感染的60例患者,并发肺炎31例占51.7%、支气管炎14例占23.3%、肺不张3例占5.0%、肺水肿1例占1.7%、其他11例占18.3%。根据药敏结果使用抗生素治疗后:治愈35例占58.3%、好转19例占31.7%、无效6例占10.0%。结论我们应在心胸外科在术前、术中及术后应用各种有效的方法以减少手术应激及并发症发生。

Objective To investigate the cardiothoracic surgery hospital patients after respiratory infection factors and clinical efficacy.Methods The surgical treatment of hospital after heart surgery complicated by respiratory tract infection 60 patients,according to the type of surgery,anesthesia,respiratory diseases and the original site of infection complicated to analyze,and summarize their clinical efficacy.Results The postoperative hospital cardiothoracic surgery,60 patients were respiratory infection,pneumonia 31 cases accounted for 51.7%,23.3% bronchitis,14 cases,three cases of atelectasis accounted for 5.0%,pulmonary edema,one case of 1.7%,other 11 cases accounted for 18.3%.Our use of antibiotics based on susceptibility results after treatment：cure 35 cases accounted for 58.3%,31.7% improved in 19 cases,6 cases accounted for 10.0%.Conclusion We should be in cardiothoracic surgery in the preoperative,intraoperative and postoperative application of effective methods to reduce surgical stress and complications.