重症脑梗死合并肺感染患者早期气管切开术的临床疗效

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Abstract Objective To explore the clinical effect of early tracheotomy in patients with severe cerebral infarction combined with pulmonary infection. Methods The clinical data of 78 patients with early acute severe cerebral infarction complicated with pulmonary infection in the intensive care unit (ICU) of Maoming People′s Hospital from January 2017 to July 2020 was retrospectively analyzed. According to the time of tracheotomy after admission, patients were divided into an early tracheotomy group with 36 cases and a late tracheotomy group with 42 cases. The duration of mechanical ventilation, stay in ICU, total hospital stay, duration of antibiotic use, combined antibiotic use rate, complication rate, ICU mortality rate, and total hospital fatality rate were compared between the two groups. Results There was no significant difference in the total complication rate of tracheotomy, ICU mortality rate, or total hospital fatality rate between the two groups (P>0.05). The duration of mechanical ventilation, stay in ICU, total hospital stay, duration of antibiotic use, combined antibiotic use rate and total incidence of serious complications in the early tracheotomy group were lower than those in the late tracheostomy group, and the differences were statistically significant (P<0.05). Conclusion Early tracheotomy is beneficial to decrease the total incidence of serious complications and the use of combined antibiotics in patients with early severe cerebral infarction combined with pulmonary infection, and shorten mechanical ventilation, and reduce antibiotic use,stay in ICU,and total hospital stay. It is worthy of promotion and application in clinical practice.

Key words： Severe ischemic stroke Pulmonary infection Early tracheotomy Curative effect

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	Articles by authors
	LIN Kang-yue
	LIAO Xiao-rong
	YE Shi-sheng
	XIAO Yu-mei

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LIN Kang-yue,LIAO Xiao-rong,YE Shi-sheng, et al. Clinical effect of early tracheotomy in patients with severe cerebral infarction combined with pulmonary infection[J]. 中国当代医药, 2021, 28(34): 83-86.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I34/83

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