摘要
目的探讨前纵隔肿瘤术后肺部感染因素临床分析,为制定护理对策及降低感染率提供依据。方法回顾性分析医院2009年1月-2014年1月278例行前纵隔肿瘤切除术患者临床资料,记录其术后出现呼吸道感染发生率;对比分析发生肺部感染患者的危险因子。结果肺部感染37例,感染率为13.31%;142例吸烟患者中肺部感染率20.42%,不吸烟患者136例,术后肺部感染率5.89%;术后低蛋白血症24例,其中肺部感染率29.17%,无低蛋白血症254例,肺部感染率11.8%;肺部感染的危险因素包括吸烟、手术时间长、术后低蛋白血症。结论前纵隔肿瘤术后肺部感染率较低,多种危险因子可导致术后肺部感染,有效的术前及术后护理干预能降低术后肺部感染发生率。
OBJECTIVE To explore the risk factors for postoperative pulmonary infections in the patients with ante‐rior mediastinal tumors so as to put forward nursing countermeasures to reduce the infection rate .METHODS The clinical data of 278 patients who underwent the anterior mediastinal tumor resection from Jan 2009 to Jan 2014 were retrospectively analyzed ,the incidence of postoperative respiratory tract infections was recorded ,and the risk factors for the pulmonary infections were observed and compared .RESULTS The pulmonary infections occurred in 37 cases with the infection rate of 13 .31% .The incidence of pulmonary infections was 20 .42% among the 142 pa‐tients who had the history of smoking ,while the incidence of postoperative pulmonary infections was 5 .89% a‐mong the patients who did not smoke .The incidence of pulmonary infections was 29 .17% among the 24 patients with postoperative hypoproteinemia and was 11 .8% among the 254 patients without hypoproteinemia .The risk factors for the pulmonary infections included the smoking ,long operation duration ,and postoperative hypopro‐teinemia .CONCLUSION The incidence of postoperative pulmonary infections is low in the patients with anterior mediastinal tumors .There are a variety of risk factors that can result in the pulmonary infections ,and the effective preoperative and postoperative nursing interventions can reduce the incidence of the postoperative pulmonary infec‐tions .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第22期5581-5583,共3页
Chinese Journal of Nosocomiology
基金
北京市科委基金资助项目(Z111100074911004)
关键词
前纵隔肿瘤
手术
肺部感染
护理研究
Anterior mediastinal tumor
Surgery
Pulmonary infection
Nursing study
