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心脏外科术后医院感染及其危险因素的研究

Adiscussion on the postoperative hospital infection and its risks of a heart surgery

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【作者】 李六亿; 朱晓平;

【Author】 Li Liuyi Zhu Xiaoping the No.1 Hospital of Beijing Medical School 100034

【机构】 北京医科大学第一医院; 水利部北京总医院;

【摘要】 对心脏直视手术病人1208例术后医院感染进行了前瞻性观察,对术后医院感染影响因素进行了危险因素多因素 Logistic 回归分析。通过观察发现术后医院感染率为7.5%,感染部位主要是下呼吸道和切口。危险因素的多因素分析显示,术后医院感染与术前住院时间、气管插管与气管切开及胸腔引流留置时间、手术类型、手术持续时间、术后并发症等因素有关。为此,医院应把上述心脏外科术后医院感染影响因素作为控制术后感染的重要环节来抓。

【Abstract】 Observations are made on 1208 postoperative cases and logistic analyses are centered on the risks related to postoperative hospital infections.It is discovered through observations that the rate of hospital infections is 7.5%.The infected parts are mainly the lower respiratory tract and the inci- sion.Logistic analyses of the risks indicate that postoperative hospital infections are related to preopera- tive hospitalization duration,the time span of endotracheal intubation,trachealaryngotomy and the re- tention of pleural drainage,type of operation,operational duration,and postoperative complication. Thesefore,hospitals should look seriously at the postoperative infection risks and take important steps to control them.

  • 【文献出处】 中华医院管理杂志 ,Chinese Journal of Hospital Administration , 编辑部邮箱 ,1996年09期
  • 【分类号】R654.2;R181.3
  • 【被引频次】5
  • 【下载频次】53
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