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目的研讨重症颅脑外伤在重症加强护理病房(ICU)发生肺部感染的临床分析。方法 80例重症颅脑外伤患者,根据是否发生ICU肺部感染分为观察组(29例,发生肺部感染)和对照组(51例,未发生肺部感染),对两组患者的临床资料做统计学分析。结果观察组死亡率、病原菌检查G-率均高于对照组,差异具有统计学意义(P<0.05);两组神经损伤评分比较,差异具有统计学意义(P<0.05)。结论重症颅脑外伤患者ICU治疗发生肺部感染率较高,发病原因多样化,应当给予足够的关注度,尽力控制ICU重症颅脑外伤肺部感染因素,降低其发生率。
Objective To investigate the clinical analysis of severe craniocerebral trauma in intensive care unit (ICU) pulmonary infection. Methods Eighty patients with severe traumatic brain injury were divided into observation group (29 cases with pulmonary infection) and control group (51 cases without pulmonary infection) according to whether ICU pulmonary infection occurred or not. The clinical data of two groups Do statistical analysis. Results The death rate of the observation group and the G-rate of pathogen examination were higher than those of the control group (P <0.05). There was significant difference between the two groups in neurological injury scores (P <0.05). Conclusion ICU therapy in patients with severe craniocerebral trauma has a high rate of lung infection and diversification of causes. ICU should be given enough attention to try to control pulmonary infection in ICU patients with severe traumatic brain injury and reduce its incidence.