早期气管切开对防治重型颅脑损伤术后肺部感染的作用
气管切开术；重型颅脑损伤；手术；肺部感染,,气管切开术；重型颅脑损伤；手术；肺部感染,1资料与方法,2结果,3讨论,参考文献
【摘 要】 目的 探讨早期气管切开对防治重型颅脑损伤术后肺部感染的作用。方法 将92例重型颅脑损伤患者(GCS 3～8分)随机分为观察组(n=46，于伤后≤48 h行气管切开)和对照组(n=46，于伤后>48 h行气管切开)，两组其余治疗方法相同。结果 观察组肺部感染发生率(45.7%)明显低于对照组(69.6%)，P<0.05；观察组肺部感染控制率(66.7%)明显高于对照组(34.4%)，P<0.05，其控制感染时间(10.2±2.16)d短于对照组(12.7±3.43)d，P<0.05。结论 早期气管切开能有效防治重型颅脑损伤术后肺部感染。【关键词】 气管切开术；重型颅脑损伤；手术；肺部感染
Effects of Early Tracheotomy on the Treatment and Prevention of Pulmonary Infection for Patients with Severe Craniocerebral Trauma LI Gang,LI Baodong.Department of Neurosurgery, the Second People，s Hospital of Xinxiang City, Xinxiang 453002, China
【Abstract】 Objective To investigate effects of early tracheotomy on the treatment and prevention of pulmonary infection for patients with severe craniocerebral trauma. Methods Patients with severe craniocerebral trauma (n=92) were randomly divided into treatment group and control group (46 per group). In treatment group, tracheotomy was performed in 48 hours before injury.In control group, tracheotomy was performed in 48 hours after injury. Results The incidence rate of pulmonary infection in treatment group (45.7%) was significantly lower than that in control (69.6%) (P<0.05).Cured rate of pulmonary infection in treatment group was higher than that in control (P<0.05). The cured time of pulmonary infection in treatment group was significantly shorter than that in control (P<0.05). Conclusion Early tracheotomy can effectively prevent and treat pulmonary infection in patients with severe craniocerebral trauma. ......
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