重型颅脑损伤合并肺部感染的临床诊治分析

Clinical Diagnosis and Treatment Experience of Severe Craniocerebral Injury and Pulmonary Infection

目的分析重型颅脑损伤患者肺部感染相关因素及性质,探讨有效的治疗方法。方法整群选取2011年1月—2015年1月该院GCS计分≤8分的298例重型颅脑损伤患者的临床资料进行回顾性分析。结果重型颅脑损伤患者肺部感染发生率100%。通过采取积极的治疗方法,肺部感染可以得到有效控制。结论综合治疗可有效控制肺部感染。尽量抬高患者上半身、采用"经皮扩张气管切开术"、中医中药的应用可有效促进病情的控制和恢复。

Objective To analyze the relevant risks and nature of pulmonary infection in patients with severe craniocerebral injury and study the effective treatment method. Methods The clinical data of 298 cases of patients with severe craniocerebral injury whose GCS score ≤8 in our hospital from January 2011 to January 2015 were retrospectively surveyed and analyzed. Results The incidence rate of pulmonary infection in patients with severe craniocerebral injury was 100%, and the pulmonary infection can be effectively controlled by the active treatment method. Conclusion The comprehensive treatment can effectively control pulmonary infection, trying to raise the upper body of patients, adopting percutaneous dilational tracheostomy and the application of traditional Chinese medicine can effectively promote the control and recovery of disease condition.