神经外科危重症并发严重肺部感染患者的治疗策略.pdfVIP

第 37 卷第 5 期 河北医科大学学报 Vo l. 37 No.5 2016 年 5 月 JOURNAL OF HEBEI MEDICAL UNIVERSITY May 2016 • 537 • ·论著· 神经外科危重症并发严重肺部感染患者的治疗策略 陈鸿尤1 ，曹作为1 ，赵家慧2 (1.海南省三亚市人民医院神经外科，海南三亚 572000;2.河北大学医学院 2014 级临床三班，河北保定 071000) [摘要] 目的探讨神经外科危重症患者严重肺部感染的特征及治疗策略。方法选取神经外科危重症并发严 重肺部感染患者 82 例，应用镇静和肌肉松弛剂配合机械通气控制呼吸，经验性抗生素治疗与病原菌目标治疗相结 合，并采取积极的支持疗法。结果 82 例神经外科危重症并发严重肺部感染患者，经治疗后病死率为 14.6% 02/ 82) 。结论神经外科危重症患者并发的严重肺部感染，经积极的综合治疗能得到有效控制。 [关键词] 危重病;神经症外科z 感染z 治疗结果 doi: 10.3969/j.issn.1007-3205.2016.05.010 [中国分类号] R651 [文献标志码] A [文章编号] 1007-3205(2016)05-0537-04 The treatment strategies on ctitical neurosurgical patients complacatied with severe lung infection CHEN Hong-you l , CAO Zuo-wei l , ZHAO lia-hui2 (1. Deρartment 01 Neurosurgery , Sanya Peoρles Hospital 01 Hannan Province , Sanya 572000 , China; 2.Clinical Class 3 , Grade 2014 , the Medical School 01 Hebei University , Baoding , 071000 , China) [Abstract] Objective To investigate the features and treatment strategies of ctitical neurosurgical patients that got severe pulmonary infection. Methods A total of 82 cases of neurosurgical patients complicated with severe pulmonary infection patients treated in our department from 2010 - 2014 were selected. Sedation and muscle relaxation agents to cooperate with mechanical ventilation to control breathing , combined empirical antibiotic therapy and pathogenic bacteria target therapy , and active support therapy were used. Results The mortality rate of 82 cases of critical neurosurgical patients with severe pulmonary infection was 14.6 %(1 2/ 82) after treatment. Conclusion Critical neurosurgical patients with severe pulmonary