中外医学研究Issue(13):118-118,119,2.
重症脑出血患者ICU院内肺部感染原因分析与治疗
The Causes and Treatment of Severe Cerebral Hemorrhage ICU Nosocomial Pulmonary Infection
李晨彦1
作者信息
- 1. 湘潭市中心医院 湖南 湘潭 411100
- 折叠
摘要
Abstract
Objective:To analyze the risk factors and therapeutic schedule of hospital-acquired pneumonia with acute intracerebral hemorrhage in ICU. Method:120 cases of severe cerebral hemorrhage patients in ICU in our hospital from January 2010 to January 2012 were selected.42 cases of patients merged with nosocomial infection in the lungs were selected as observation group,and 78 cases of patients without nosocomial infection in the lungs were selected as control group.The cause of pulmonary infection and appropriate therapeutic measures were analyzed.Result:The average age of observation group was (60.8±1.8) years, significantly higher than control group (49.3±2.6)years,the difference was statistically significant(P<0.05).The patients mean ICU stay time of observation group was (12.2±1.0)days,significantly longer than control group(8.6±0.7)days(P<0.05).The mean ventilation time of observation group was (7.3±1.6)days, was significantly longer than control group(5.3±1.1)days(P<0.05).The tracheotomy patients rate of observation group was 61.9%(26/42),was shorter than control group(P<0.05).The smoking history of observation group was 57.1%(24/42),was significantly higher than control group 26.9%(21/78)(P<0.05).Conclusion:The hospital-acquired pneumonia morbidity of the patients combined acute cerebral hemorrhage in ICU is high,the invasive operation times should be reduced,the patients should be extubated as early as possible to avoid prolonged hospitalization in the ICU,so that this can effectively reduce the incidence of lung infection.关键词
重症脑出血/ICU/肺部感染/原因分析Key words
Acute intracerebral hemorrhage/Intensive care unit/Hospital acquired pneumonia/Factor analyze分类
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李晨彦..重症脑出血患者ICU院内肺部感染原因分析与治疗[J].中外医学研究,2014,(13):118-118,119,2.