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目的探讨高龄(≥80岁)髋部骨折院内肺部感染的危险因素,以采取有效的预防控制措施。方法回顾性分析2004年1月-2007年1月119例手术治疗的高龄髋部骨折患者的相关临床资料。结果高龄髋部骨折院内肺部感染36例,感染率30.25%;院内肺部感染死亡7例,死亡率19.44%;高龄、侵入性操作、滥用抗菌药物、原有基础疾病等是院内肺部感染的危险因素。结论加强环境管理和感染监控,严格洗手制度,合理使用抗菌药物,积极治疗基础疾病是降低高龄髋部骨折院内肺部感染的有效措施。
Objective To investigate the risk factors of nosocomial pulmonary infection in elderly patients (≥80 years old) with hip fracture in order to take effective preventive and control measures. Methods The clinical data of 119 elderly patients with hip fracture underwent surgery from January 2004 to January 2007 were retrospectively analyzed. Results In the hospital, there were 36 cases of nosocomial pulmonary infection in old hip fracture with infection rate of 30.25%. Seven patients died of nosocomial pulmonary infection, the mortality rate was 19.44%. Elderly, invasive operation, abuse of antibacterial drugs and original underlying diseases were pulmonary nosocomial infections Risk factors. Conclusion Strengthening environmental management and infection monitoring, strict hand washing system, rational use of antimicrobial agents, and active treatment of underlying diseases are effective measures to reduce nosocomial pulmonary infection in elderly hip fractures.