心胸外科患者术后获得性肺炎的临床研究

Clinical study on the acquired pneumonia in patients after cardiothoracic surgery

目的分析心胸外科手术后获得性肺炎患者的临床资料,为临床治疗提供参考依据。方法回顾性分析2014年1-12月36例心胸外科手术后获得性肺炎的治疗情况,分析其手术时间、手术类型以及病原菌,数据采用SPSS 17.0软件进行统计分析。结果心胸外科患者手术后发生获得性肺炎感染的影响因素为一秒用力呼气容积70%~80%、手术时间20~179min、先天性心脏病手术及发生铜绿假单胞菌感染分别占69.45%、55.56%、47.22%和44.45%;铜绿假单胞菌术后5~7d发生感染的占61.11%,且>50.00%的患者均为中重度感染,病死率达5.56%。结论对于心胸外科患者手术后进行围手术期预防与治疗,可有效避免获得性肺炎感染的发生。

OBJECTIVE To analyze the clinical data of patients with acquired pneumonia after cardiothoracic surgery in our hospital so as tO provide references for clinical treatments. METHODS The treatment condition Of 36 cases with acquired pneumonia after cardidthoracic surgery admitted in the hospital from Jan. 2014 to Dec. 2014 were retrospectively analyzed. The time of operation, types of operation and the pathogenic bacteria were all statisticaIly analyzed by SPSS 17.0. RESULTS The influence factors of acquired pneumonia included the. FEV. in one second （70%-80%）, the Operation time ：（120-179 min）, congenital heart disease surgery and Pseudomonasaeruginosa infection, accounting for 69.45%,55.56% ,47.22% and 44.45%. Also, there were 61.11% of patients infected after five to seven days, arid more than half of the patients were moderately severe in^ec^ted, arid：the mortality was 5.56M. CONCLUSION Perioperative prevention and treatment for heart surgery patients can effectively avoid the happening of acquired pneumonia infections.