导致心血管内科感染的因素及临床治疗

Factors that affect cardiovascular internal medicine infection and clinical treatment

目的找到导致心血管内科感染的因素，以提高临床治疗效果。方法选取我院2007年2月～2012年2月收治的患有心血管内科感染的患者，共258例，对其进行回顾性分析。结果心血管疾病患者发生感染的概率是（7．15±0．24）％，与我院的平均感染概率相比较高。根据发生感染的部位进行了相关的统计，发现下呼吸道被感染的病例最多，其次是上呼吸道、泌尿系统、胃肠道、皮肤软组织。结论导致心血管内科感染的因素大多是由于侵入性操作不够严格，因此在对患者进行临床治疗的过程中，要对患者由侵入性操作引起的适应症状进行准确而严格的把握，针对患有合并症的患者要进行重点监控和保护。而当患者发生感染的时候，应该及时进行药敏试验，根据试验结果来确定治疗药物，并且当患者病情好转且达到出院条件时，要及时妥当地安排其出院。

Objective To find the factors that affect cardiovascular internal medicine infection and improve the clinical effect. Methods 258 patients with infection of cardiovascular internal medicine were selected from Feb.2007 to Feb. 2012,and retrospectively analyzed. Results After clinical analysis and study of these cases,the infection in patients with cardiovascular diseases（7.15 ± 0.24）%,was higher than the average infection in our hospital. The site of infection was related statistically analyzed. It was found that most cases of lower respiratory tract infection,followed by the upper urinary tract gastrointestinal skin soft tissue. Conclusion The invasive operation not strictly enough has been mostly cardiovascular internal medicine infection factors. Therefore,in the process of clinical treatment,the symptoms which are caused by invasive operation should be grasped accurately and strictly,especially those with complication of cases to be monitoring and protection. And when the patient infection occurs,they should be detected timely by drug sensitive test according to the test result to determine the drug. And when the patients＇ condition improve and achieve discharge conditions,we should properly arrange the discharge timely.