颅脑外伤所致昏迷患者下呼吸道感染危险因素分析及治疗对策

Analysis of risk factors and treatment countermeasures on lower respiratory infection of coma patients caused by craniocerebral trauma

目的探讨颅脑外伤所致昏迷患者下呼吸道感染危险因素分析及治疗对策。方法随机选取我院150名颅脑外伤所致昏迷患者的下呼吸道感染的病历资料进行分析其下呼吸道感染的危险因素及治疗对策。结果应用抗生素、气管插管、气管切开、昏迷时间及使用呼吸机是颅脑损伤后昏迷患者并发下呼吸道感染的独立危险因素。应采取的治疗策略为:无菌操作、提高患者的免疫力等。结论防止下呼吸道感染单独危险因素的出现,提高临床操作的质量,提高患者免疫力,合理应用抗生素。

Objective To discuss the risk factors and treatment countermeasures on lower respiratory infection of coma patients caused by cranioeerebral trauma. Methods The clinical data of 150 coma patients with lower respiratory infection caused by craniocerebral trauma were retrospectively analyzed to summarize its risk factors and treatment countermeasures. Results The independent risk factors included combined use of antibiotics, coma for a long time, tracheotomy, tracheal intubation and use of breathing machine. The relative treatment countermeasures were clinical sterile operation and other operations to improve patient＇s immunity. Conclusion The treatment countermeasures to avoid lower respiratory tract infection includes prevention of independent risk factors, high quality of clinical operations, improvement of patient＇s immunity, and reasonable application of antibiotics.