摘要
目的探讨引起Debakey Ⅱ型主动脉夹层支架植入术后肺部感染的相关因素,为主动脉夹层支架植入术患者术后肺部感染的预防提供参考。方法收集2011年1月-2015年12月医院行支架植入治疗的112例Debakey Ⅱ型主动脉夹层患者临床资料,分析引起肺部感染的相关因素。结果 112例患者中13例患者术后发生肺部感染,感染率为11.61%,送检痰液进行细菌培养,分离出病原菌8株,以肺炎克雷伯菌3株为主;患者年龄≥60岁、有糖尿病史、有吸烟史、呼吸机应用时间≥5h、手术时间≥5h、术前NYHA心功能分级≥Ⅲ级为术后肺部感染的相关因素;非条件Logistic多因素回归分析显示年龄、糖尿病、吸烟、呼吸机应用时间、手术时间、术前NYHA心功能分级均是引起患者发生术后肺部感染的影响因素。结论引起Debakey Ⅱ型主动脉夹层支架植入术后肺部感染的相关因素较多,应针对以上因素进行干预以降低术后肺部感染的发生。
OBJECTIVE To explore the risk factors for postoperative pulmonary infection in patients undergoing Debakey type Ⅱaortic dissection stent implantation so as to provide guidance for prevention of the postoperative pulmonary infection.METHODS The clinical data were collected from 112 patients who underwent the Debakey type Ⅱ aortic dissection stent implantation in the hospital from Jan 2011 to Dec 2015,and the related factors for the pulmonary infection were analyzed.RESULTS Of the 112 patients,13 had postoperative pulmonary infection,with the infection rate 11.61%.The sputum specimens were submitted for bacterial culture,and 8 strains of pathogens were isolated,3 of which were Klebsiella pneumoniae.The related factors for the postoperative pulmonary infection included no less than 60 years of age,history of diabetes mellitus,smoking history,time of use of ventilator no less than 5 hours,operation duration no less than 5 hours and preoperative NYHA cardiac function grading no less than gradeⅢ.Non-conditional multivariate logistic regression analysis showed that the influencing factors for the postoperative pulmonary infection in the patients included the age,diabetes mellitus,smoking,time of use of ventilation,operation duration and preoperative NYHA cardiac function grading.CONCLUSIONThere are a variety of related factors for the postoperative pulmonary infection in the patients undergoing the Debakey type Ⅱaortic dissection stent implantation,and it is necessary to take intervention measures according to the related factors so as to reduce the incidence of the postoperative pulmonary infection.
作者
王慧
徐莹
蒋超英
赵文军
郑德兴
万海林
WANG Hui;XU Ying;JIANG Chao-ying;ZHAO Wen-jun;ZHENG De-xing;WAN Hai-lin(Zhejiang Province Enze Medical Center（Group）Taizhou Hospital,Linhai,Zhejiang 317000,China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第13期1972-1974,共3页
Chinese Journal of Nosocomiology
