术中下呼吸道污染与术后肺部感染之间的关系。

The relationship between intraoperative contamination of the lower respiratory tract and postoperative chest infection.

作者信息

Morran G G, McNaught W, McArdle C S

机构信息

University Department of Surgery, Royal Infirmary, Glasgow, Scotland.

出版信息

J Hosp Infect. 1995 May;30(1):31-7. doi: 10.1016/0195-6701(95)90246-5.

DOI:10.1016/0195-6701(95)90246-5

PMID:7665880

Abstract

The relationship between intraoperative contamination of the lower respiratory tract and postoperative chest infection was studied in 193 patients undergoing biliary tract surgery. During surgery, sputum was obtained from the lower respiratory tract for bacteriological culture. The diagnosis of postoperative pulmonary complications was based on clinical criteria, supported by the pattern of sequential blood gas changes in the postoperative period. Chest infection was present in 30% of patients who harboured Haemophilus species in their sputum at the time of surgery compared with 10% of those with negative cultures. Contamination of the lower respiratory tract at operation by Haemophilus sp. is associated with development of postoperative chest infection.

摘要

对193例接受胆道手术的患者研究了术中下呼吸道污染与术后肺部感染之间的关系。手术期间，从下呼吸道获取痰液进行细菌培养。术后肺部并发症的诊断基于临床标准，并得到术后连续血气变化模式的支持。手术时痰液中携带嗜血杆菌属的患者中，30%发生了胸部感染，而培养结果为阴性的患者中这一比例为10%。手术时嗜血杆菌属污染下呼吸道与术后胸部感染的发生有关。