神经外科重症昏迷患者肺部感染的防治

Prevention and treatment of severe pulmonary infection in patients in coma of department of neurosurgery

目的分析神经外科重症昏迷患者的肺部感染诱因以及防治措施。方法分析126例神经外科收治的重症昏迷患者并发肺部感染的相关因素,并实施相关的防治及护理措施,总结防治对策。结果老龄、住院时间较长、神经功能及意识障碍、长期使用广谱抗生素、侵入性操作、免疫力下降是肺部感染的主要因素。本组治愈93例,好转9例,死亡24例。结论对神经外科重症昏迷患者,应积极进行原发病的治疗,全面加强病房管理,严格无菌操作,协助患者有效排痰,合理使用抗生素,及时实施支气管镜吸痰灌洗并合理地应用呼吸机等,可有效防治神经外科重症昏迷患者并发肺部感染。

Objective To analyze the causes and preventive measures of severe pulmonary infection in patients of Department of neurosurgery. Methods The correlative factors of 126 cases in coma and complicated with pulmonary infection of the department of neurosurgery were analysed.Prevention and nursing measures were implemented,the prevention and control countermeasures were summarized. Results Age,hospitalization time,disturbance of consciousness and neurological function,long-term use of broad-spectrum antibiotics,invasive operation, decreased immunity was the main factors of pulmonary infection.In this group,93 cases were cured,9 cases improved, 24 cases of death. Conclusion Severe coma patients in the Department of Neurosurgery, the treatment of primary disease should be actively,strengthen the ward management, strict aseptic operation,help the patients effective expectoration, reasonable use of antibiotics,the timely implementation of bronchoscopy sputum suction and lavage and reasonable application of ventilator, can effectively control the coma patients of Department of Neurosurgery with severe pulmonary infection.