探讨心血管内科患者医院感染的相关危险因素及临床特点(1)
摘要：目的 观察心血管内科患者发生医院感染的相关危险因素与临床特点。方法 资料选取本院2013年4月～2014年4月接收的45例心血管内科医院感染患者；记录患者治疗方式与时间等相关情况；进行细菌学检验分析患者感染部位与细菌相关情况。结果 45例心血管内科患者中29例(64.44%)侵袭式操作，13例(28.89%)药物治疗，35例(77.78%)急性发病手术治疗，31例(68.89%)术后予以气管插管机械通气治疗；患者住院时间平均(21.02±5.47)d，导管留置时间(9.28±3.19)d；细细菌学检验发现45例心血管内科患者中22例(48.89%)呼吸道感染，15例(33.33%)泌尿系统感染，8例(17.78%)胃肠道感染；14例(31.11%)革兰氏菌感染，12例(26.67%)铜绿假单胞菌感染，10例(22.22%)大肠埃希菌感染，6例(13.33%)金黄色葡萄球菌感染，3例(6.67%)其他感染。结论 心血管内科患者医院感染与治疗方式、时间相关情况密切相关。
关键词：心血管内科；医院感染；危险因素；临床特点
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Abstract：Objective Observation of patients with cardiovascular department of internal medicine risk factors of hospital infection and clinical features. Methods Data were selected in our hospital from 2013 April ～2014 infection in April received 45 cases of Cardiovascular Hospital Department of internal medicine； recording treatment modality for patients with time and other relevant circumstances； bacteriological inspection site analysis and bacterial infection in patients with the related situation. Results 45 cases of patients with cardiovascular department of internal medicine (64.44%) in 29 cases of invasive operation， 13 cases (28.89%) drug treatment， 35 cases (77.78%) of 31 cases of surgical treatment of acute onset， (68.89%) postoperative to endotracheal intubation mechanical ventilation therapy； patients hospitalization time average (21.02 ±5.47) D， catheter indwelling time (9.28 ±3.19) d； careful bacteriological inspection found 45 cases of patients with cardiovascular department of internal medicine in 22 cases (48.89%) of 15 cases of respiratory tract infection， urinary tract infection (33.33%)， 8 cases (17.78%) of gastrointestinal infection； 14 cases (31.11%) of gram bacteria infection， 12 cases (26.67%) of Pseudomonas aeruginosa infection， 10 cases (22.22%) Escherichia coli infection， 6 cases (13.33%) of Staphylococcus aureus infection， 3 cases (6.67%) other infection. Closely related to time.Conclusion Cardiovascular hospital patients in the Department of internal medicine， infection and treatment methods， the related situation.
, http://www.100md.com
Key words：Cardiovascular department of internal medicine；Hospital infection； Risk factors； Clinical characteristics
心血管内科疾病一般为急重性疾病，多需住院进行长期治疗，由此心血管内科患者发生医院感染的几率较大，相关文献证明心血管内科患者医院感染发生率为6.2%～12.8%[1]。基于此，本研究探讨心血管内科患者发生医院感染的相关危险因素与临床特点，为临床预防提供理论依据，现将结果报道如下。
1 资料与方法
1.1一般资料 资料选取本院2013年4月～2014年4月接收的45例心血管内科患者，患者均出现医院感染情况，45例心血管内科患者男女比例为24：21，年龄22～81岁，平均年龄(56.51±14.37)岁， 病程2～15年，平均病程(9.46±3.15)年。45例心血管内科患者中有11例(24.44%)心律失常，9例(20.00%)高血压心脏病，9例(2.00%)冠状粥样硬化性心脏病，7例(15.56%)风湿性心脏瓣膜病，6例(13.33%)扩张型心肌病，3例(6.67%)心绞痛。, http://www.100md.com(高学军)
关键词：心血管内科；医院感染；危险因素；临床特点
, http://www.100md.com
Abstract：Objective Observation of patients with cardiovascular department of internal medicine risk factors of hospital infection and clinical features. Methods Data were selected in our hospital from 2013 April ～2014 infection in April received 45 cases of Cardiovascular Hospital Department of internal medicine； recording treatment modality for patients with time and other relevant circumstances； bacteriological inspection site analysis and bacterial infection in patients with the related situation. Results 45 cases of patients with cardiovascular department of internal medicine (64.44%) in 29 cases of invasive operation， 13 cases (28.89%) drug treatment， 35 cases (77.78%) of 31 cases of surgical treatment of acute onset， (68.89%) postoperative to endotracheal intubation mechanical ventilation therapy； patients hospitalization time average (21.02 ±5.47) D， catheter indwelling time (9.28 ±3.19) d； careful bacteriological inspection found 45 cases of patients with cardiovascular department of internal medicine in 22 cases (48.89%) of 15 cases of respiratory tract infection， urinary tract infection (33.33%)， 8 cases (17.78%) of gastrointestinal infection； 14 cases (31.11%) of gram bacteria infection， 12 cases (26.67%) of Pseudomonas aeruginosa infection， 10 cases (22.22%) Escherichia coli infection， 6 cases (13.33%) of Staphylococcus aureus infection， 3 cases (6.67%) other infection. Closely related to time.Conclusion Cardiovascular hospital patients in the Department of internal medicine， infection and treatment methods， the related situation.
, http://www.100md.com
Key words：Cardiovascular department of internal medicine；Hospital infection； Risk factors； Clinical characteristics
心血管内科疾病一般为急重性疾病，多需住院进行长期治疗，由此心血管内科患者发生医院感染的几率较大，相关文献证明心血管内科患者医院感染发生率为6.2%～12.8%[1]。基于此，本研究探讨心血管内科患者发生医院感染的相关危险因素与临床特点，为临床预防提供理论依据，现将结果报道如下。
1 资料与方法
1.1一般资料 资料选取本院2013年4月～2014年4月接收的45例心血管内科患者，患者均出现医院感染情况，45例心血管内科患者男女比例为24：21，年龄22～81岁，平均年龄(56.51±14.37)岁， 病程2～15年，平均病程(9.46±3.15)年。45例心血管内科患者中有11例(24.44%)心律失常，9例(20.00%)高血压心脏病，9例(2.00%)冠状粥样硬化性心脏病，7例(15.56%)风湿性心脏瓣膜病，6例(13.33%)扩张型心肌病，3例(6.67%)心绞痛。, http://www.100md.com(高学军)