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目的探讨重型颅脑损伤(SHI)患者发生肺部感染的危险因素。方法回顾性分析2013年1月—2015年12月入住新乡市中心医院ICU的298例SHI患者的临床资料。结果SHI患者肺部感染的发生率为34.56%(103例);气管切开、住院时间、合并糖尿病、休克以及应用呼吸机是导致SHI患者发生肺部感染的危险因素(P<0.05);103例肿瘤患者痰培养分离出病原菌89株。主要致病菌是铜绿假单胞菌(21.35%)、鲍氏不动杆菌(15.73%)、白色假丝酵母菌(20.22%)。结论多种因素可导致入住ICU的SHI患者发生肺部感染。
Objective To investigate the risk factors of pulmonary infection in patients with severe craniocerebral injury (SHI). Methods The clinical data of 298 patients with SHI admitted to ICU of Xinxiang Central Hospital from January 2013 to December 2015 were retrospectively analyzed. Results The incidence of pulmonary infection in SHI patients was 34.56% (103 cases). Tracheotomy, hospital stay, diabetes mellitus, shock and ventilator were the risk factors of pulmonary infection in SHI patients (P <0.05). 103 Cases of cancer patients sputum culture isolated 89 pathogens. The main pathogens were Pseudomonas aeruginosa (21.35%), Acinetobacter baumannii (15.73%) and Candida albicans (20.22%). Conclusions Various factors can lead to pulmonary infection in SHI patients admitted to the ICU.