早期气管切开术对颅脑外伤合并吸入性肺炎患者的治疗效果.pdf

山西医科大学硕士学位论文 结论： 呼吸机通气的病人，早期气管切开能够减少呼吸机通气时间，降低呼吸道感染率， 缩短ICU住院时间。 关键词：颅脑外伤；吸入性肺炎；气管切开 II 山西医科大学硕士学位论文 Earlytracheotomyoncraniocerebraltraumacombined effectofthetreatmentofpatientswithaspirationpneumonia Abstract Objective: To compared to the treatmen of craniocerebral trauma combined aspiration pneumonia,theearlyeffec ofdifferen gascu ing,thelategascu ing. Methods: On from January 2012 to December 2012 in shanximedical university firs hospital emergency medical intensive care treatmen of craniocerebral trauma with aspiration pneumoniainpatientswith64patien recordswereretrospectivelyanalyzed.Intothegroup, allpatientsinthehospitalwithin24htoendotrachealintubationortracheotomy,breathing machineandventilation. 1. According to the patien medical records, choose mechanical ventilation is more than 7 days of craniocerebral trauma with aspiration pneumonia cases, 64, 24 hours into thegroupofpatientshospitalizedareimplementedendotrachealintubationortracheostomy, thenaccordingtothegascu ingtimeisdividedinto:students34cases,within24hoursof admissiongascu ing;In30casesofb,48hoursafterintubationgascu ing. 2. Comparethe general epidemiologicalparameters between two groups ofpatients: gender, age, history and basic classification of craniocerebral trauma, etc. 3. After the comparison of conventional index between two groups there was no statisticallysignifican differenceunderthepremiseoftheanalysisbetweenthetwogroups of breathing machine ventilation time and ICU hospitalization duration, 1 week after pulmonary infection score (CPIS), the comparison between the two groups of indicators havestatisticallysignificant. III 山西医科大学硕士学位论文 Results: 1.Between the two groups patients