【摘要】 目的比较不同手术时机患者术后肺部感染情况。方法回顾性调查2014年1—12月某院住院患者中实施外科手术的患者,对患者病例资料进行调查,对手术后肺部感染患者进行比较。结果共调查外科手术患者20 343例,手术后发生肺部感染227例,术后肺部感染发病率为1.12%。术后肺部感染发病率急诊手术患者为5.13%,高于择期手术患者术后的0.70%,差异有统计学意义(χ2=307.49,P<0.001)。神经外科、普外科、心胸外科组急诊手术后患者肺部感染发病率均高于择期手术患者,差异均有统计学意义(均P<0.001)。急诊手术后肺部感染患者中年龄<60岁、术前不合理使用抗菌药物、心脑血管疾病、高血压及气管切开患者所占比例均高于择期手术后肺部感染患者(均P<0.05);肿瘤患者所占比例低于择期手术患者(P<0.05)。结论急诊手术后患者肺部感染发病率比择期手术患者高,且神经外科、普外科、心胸外科的急诊手术后肺部感染发病率较高。急诊手术中合并心脑血管疾病、高血压患者是重点防护人群;对于择期手术,肿瘤患者则为重点防护人群。更多还原

【Abstract】 Objective To compare postoperative pulmonary infection in patients undergoing surgical operation at different surgical opportunities.Methods Patients who underwent surgical operation in a hospital from January to December 2014 were surveyed retrospectively,patients’ data were reviewed,patients with postoperative pulmonary infection were compared.Results A total of 20 343 surgical patients were investigated,227(1.12%)had postoperative pulmonary infection.Postoperative pulmonary infection rate in patients undergoing emergency operation was higher than that of selective operation(5.13% vs 0.70%,χ2=307.49,P<0.001).Postoperative pulmonary infection rates in patients undergoing emergency neurosurgical,general surgical,and cardiothoracic surgical operation were all higher than selective operation(all P <0.001).Among patients with pulmonary infection following emergency operation,the proportion of those who aged <60 years,with preoperative irrational antimicrobial use,cardiovascular disease,hypertension,and tracheotomy were all higher than those who received selective operation(all P<0.05);the proportion of patients with cancer is lower than that of elective surgery patients(P<0.05).Conclusion Postoperative pulmonary infection rate in patients undergoing emergency operation is higher than selective operation,postoperative pulmonary infection rates in patients undergoing emergency neurosurgical,general surgical,and cardiothoracic surgical operation are high.Patients with cardiovascular disease and hypertension are the focus of protection;for elective surgery,cancer patients are the focus of protection.更多还原