重症脑出血患者ICU院内肺部感染原因分析与治疗

A Study of the Nonocomial Pulmonary Infection Causes and Treatment Measures of Serious Serebral Hemorrhage in ICU

目的 对重症脑出血患者ICU院内肺部感染原因分析及治疗措施进行分析探讨。方法以我院ICU2015年1月~2017年1月收治的91例重症脑出血患者作为研究对象，对患者的临床资料进行回顾性分析，总结患者ICU内肺部感染原因及相应的防治措施。结果91例患者中，出现肺部感染40例，肺部感染发生率为43.96%。肺部感染的致病菌主要为革兰阴性菌、革兰阳性菌、真菌，分别为65.00%、22.50%、7.50%。年龄、气管切开、住院时间、呼吸机的使用时间及是否合并COPD为引发肺部感染的主要危险因素(P<0.05)。40例肺部感染患者治疗有效率为87.50%。结论住院时间、气管切开、年龄及呼吸机使用时间等为重症脑出血患者ICU院内肺部感染的主要危险因素，应引起临床重视，积极采取防治措施，以降低感染发生率，提高治疗效果。

Objective To study the nonocomial pulmonary infection causes and treatment measures of serious serebral hemorrhage in ICU.Methods Seleceted91cases with serious serebral hemorrhage in the ICU of our hospital from January2015to January2017as study objects,retrospective study the nonocomial pulmonary infection causes and treatment measures.Results Among the91cases,40cases developed pulmonary infection,the pulmonary infction rate was43.96%,the pathogenic bacterium were gram-negative bacterium,gram-positive bacterium,fungus,the infection rate were65.00%,22.50%and7.50%.The age,tracheotomy,hospital stays,breathing machine time,and with COPD were main risk factors.The treatment effect rate of the40cases with serious serebral hemorrhage was87.50%.Conclusion The age,tracheotomy,hospital stays,breathing machine time,and with COPD were main risk factors.The medical workers should pay more attention,addopt controlled measures,to reduce infection rate,increase treatment effect.