论文部分内容阅读
目的探讨胸部外科手术后并发肺部感染的病原菌分布特点及耐药性,总结感染的防治措施。方法回顾性分析医院2008年3月-2010年3月48例胸外科术后并发肺部感染患者的临床资料,统计48例患者肺部感染的病原菌及药敏试验结果,总结肺部感染的防治措施。结果 48例肺部感染患者痰培养共检出病原菌77株,其中铜绿假单胞菌23株占29.9%,肺炎克雷伯菌20株占26.0%,嗜麦芽寡养单胞菌17株占22.1%,大肠埃希菌6例占7.8%,其他病原菌11株占14.3%;48例患者根据检验结果及药敏试验,选取针对性的抗感染药物进行治疗,45例患者痰细菌培养转阴,3例患者发生多器官功能衰竭死亡。结论根据痰细菌培养及药敏试验结果,结合患者的实际情况,选择相应的抗感染药物及治疗方法,可以使胸部外科手术术后肺部感染患者获得良好预后。
Objective To investigate the distribution characteristics and drug resistance of pathogens in patients with pulmonary infection after thoracic surgery and to summarize the control measures of infection. Methods The clinical data of 48 patients with pulmonary infection complicated by thoracic surgery from March 2008 to March 2010 were retrospectively analyzed. The pathogenic bacteria and drug sensitivity test results of 48 patients with pulmonary infection were analyzed retrospectively. The prevention and treatment of pulmonary infection Measures. Results Totally 77 pathogenic bacteria were detected in sputum of 48 patients with pulmonary infection, among which, 23 strains of Pseudomonas aeruginosa accounted for 29.9%, 20 strains of Klebsiella pneumoniae 26.0% and 17 strains of Stenotrophomonas maltophilia %, Escherichia coli in 6 cases accounted for 7.8%, other pathogens 11 strains accounted for 14.3%; 48 patients according to the test results and drug sensitivity test, select the targeted anti-infective drugs for treatment, 45 patients sputum bacterial culture overcast, Three patients died of multiple organ failure. Conclusion According to sputum bacterial culture and drug susceptibility test results, combined with the actual situation of patients, select the appropriate anti-infective drugs and treatment methods, can make patients with postoperative chest surgery postoperative lung infection good prognosis.