《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (12): 776-777.

• 临床研究 • 上一篇    下一篇

急性颈髓损伤合并肺部感染的临床研究

赵红梅; 郭险峰; 孟申; 关骅   

  1. 北京博爱医院内科 北京市 100068
  • 收稿日期:2004-10-18 出版日期:2004-12-25 发布日期:2004-12-25

Clinical research of pneumonia in acute cervical spinal injury

ZHAO Hong-mei, GUO Xian-feng, MENG Shen, et al   

  1. Department of Internal Medicine, The Beijing Charity Hospital, Beijing 100068, China
  • Received:2004-10-18 Published:2004-12-25 Online:2004-12-25

PDF (PC)

摘要： 目的探讨急性颈髓损伤(CSCI)患者肺部感染的防治。方法对1988—2004年住院的278名急性创伤性颈髓损伤患者的资料进行回顾性研究。结果肺部感染是急性CSCI后最主要的肺部并发症;在伤后3—33天胸片证实有肺部感染,且均为院内感染,菌株以G-杆菌为主,主要是铜绿假单胞菌;美国脊柱损伤协会评分标准(ASIA)≤6分患者的肺部感染发生率显著高于>6分者(P<0.001)。结论CSCI患者发生肺部感染与损伤平面和是否为完全性损伤有关,院内感染的G-杆菌为主要致病菌。

关键词: 颈髓损伤, 肺部感染, 康复治疗

Abstract: ObjectiveTo investigate the prevention and treatment of pneumonia in patients with acute cervical spinal cord injury (CSCI).MethodsData of 278 patients with acute traumatic CSCI admitted from 1988 to 2004 were analyzed retrospectively.Results Pneumonia was the major complication following acute CSCI and discovered by radiography during the first 3—33 days after injury. The all cases were nosocomial pneumonia and G- bacilli were main pathogens, particularly pseudomonas aeruginosa. The incidence of pneumonia of patients with score ≤6 according to the criteria of American Spinal Injury Association (ASIA) was significantly higher than those with ASIA score >6 (P<0.001).ConclusionThe high incidence of pneumonia in the CSCI is associated with the level and completeness of the injury. The G- bacilli causing nosocomial infection are main pathogens.

Key words: cervical spinal cord injury (CSCI), pneumonia, rehabilitation treatment