上消化道穿孔术后肺部感染的因素分析

Factors of pulmonary infection in upper gastrointestinal perforation postoperative

目的:探讨上消化道穿孔手术后发生肺部感染的原因。方法:分析2005年5月至2012年4月期间我院收治上消化道穿孔手术后病例资料。结果:肺部感染是上消化道穿孔术后常见并发症,发生率25%,结果显示并发症发生在不同患者年龄、胃肠减压与否、术前是否存在休克、麻醉方式不同、术后是否镇痛、术前是否合并肺部慢性疾病等差异有统计学意义,而在患者性别、穿孔位置、手术方式、手术时间长短不同发生肺部感染差异无统计学意义。结论:对有肺部感染高危因素的患者要积极预防,降低肺部感染发生。

Objective： To study the cause of lung infection after upper gastrointestinal perforation surgery. Methods： To an- alyze clinical data of gastrointestinal perforation after surgery in our hospital from May ,2005 to April,2012. Results：Lung infection was a common complication after surgery in gastrointestinal perforation case, and the rates of complication were 25%, Chi square test indicated that there was significant difference in complications in patient＇s age, gastrointestinal de- compression, preoperative shock, anesthesia, postoperative analgesia, merger of preoperative chronic lung disease whereas there was no significant difference in genders, perforation locations, surgical approaches and length of operation time. Con- elusion：Active prevention should be done to reduce lung infections occurred in patients with lung infection risk factors.