重症颅脑外伤ICU肺部感染病例的临床研究

摘要

目的针对重症颅脑外伤ICU肺部感染患者展开临床研究，为日后的临床诊疗工作提供参考与指导。方法选取我院2014年1月~2015年1月收治的重症颅脑外伤ICU肺部感染患者100例作为研究对象，设定为观察组；同期选择100例重症颅脑外伤患者，且无肺部感染，设定为对照组。针对两组患者的临床诊疗工作进行分析，展开对比。结果经过临床对比分析，观察组革兰氏阴性菌占比63.4%，革兰氏阳性菌占比32.6%，其他致病菌占比4.0%；观察组在脑功能评分、死亡率等指标方面均高于对照组，差异有统计学意义，P＜0.05。结论重症颅脑外伤ICU肺部感染在临床诊治过程中，通常情况下的恢复效果不理想，需根据具体的致病菌情况，合理选择抗生素等药物实施治疗，加强预防感染措施，提高患者的存活率。%Objective In view of the severe craniocerebral trauma ICU patients with pulmonary infection in clinical research, to provide a reference for clinical diagnosis and treatment in the future work and guidance. Methods From January 2014 to January 2015, ICU pulmonary infection in patients with severe craniocerebral trauma treated 100 cases as the research object in our hospital, setting of observation group, Over the same period choose 100 patients with severe craniocerebral trauma, without lung infection, the setting of the control group. In view of the two groups of patients with clinical diagnosis and treatment work were ranalyzed.Results Through the clinical analysis, observation group of patients with gram-negative bacteria accounted for 63.4%, gram positive bacteria accounted for 32.6%, other pathogenic bacteria accounted for 4.0%, Observation group of patients with brain function score, mortality rate and other indicators, were higher than the control group, was difference had statistically signiifcance, P<0.05.Conclusion ICU pulmonary infection in severe craniocerebral trauma in the process of clinical diagnosis and treatment, usually recover the effect is not ideal, need according to the speciifc situation of pathogenic bacteria, reasonable choice of antibiotics such as drug treatment, strengthen the measures to prevent infection, improve the survival rate of patients.