论文部分内容阅读
下呼吸道感染对长期气管造口术者是一种严重威胁,这类患者在医院发生肺炎者高达66%,其病因与肠道革兰氏阴性杆菌移居于支气管树有关者达60～100%。为了了解长期气管造口术者呼吸道的菌丛情况及其与宿主某些特殊因素的关系,作者对15例长期气管造口术者进行了研究观察。本组男7、女8例,年龄23～77(平均61)岁。全部病例气管造口术期限为1个月～10年(平均25个月)。其中慢性肺部疾病13例,慢性神经肌肉疾病2例。采用机械通气6例,给予辅助氧疗13例。10例每天用强的松10～30mg治疗,在观察期间接受抗生素治疗12例。每例患者每两周1次同时在口腔和气管粘
Lower respiratory tract infections are a serious threat to long-term tracheostomy, with up to 66% of those with pneumonia in hospitals, with a cause of 60-100% of those associated with intestinal Gram-negative bacilli migrating to the bronchial tree. In order to understand the flora of respiratory tract of long-term tracheostomy and its relationship with some special factors of the host, 15 patients with long-term tracheostomy were studied. The group of male 7, female 8 cases, aged 23 to 77 (average 61) years old. All cases of tracheostomy for a period of 1 month to 10 years (an average of 25 months). Of which 13 cases of chronic lung disease, chronic neuromuscular disease in 2 cases. 6 cases were given mechanical ventilation and 13 cases were given auxiliary oxygen therapy. 10 cases of daily treatment with prednisone 10 ~ 30mg, observed during antibiotic treatment in 12 cases. Each patient once every two weeks in the mouth and trachea sticky