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目的:观察并分析小儿脑瘫并发肺部感染的诱发因素,抗生素耐药情况及致病菌构成情况。方法:选取我院收治的40例脑瘫并发肺部感染患儿,回顾性分析其临床症状、细菌学特点和抗生素耐药情况。结果:小儿脑瘫合并肺部感染的危险因素为哮喘、长期卧床及低龄(≤1岁)等,其常见的致病菌为鲍曼不动杆菌,经药物过敏测试,可见其对舒巴坦、哌拉西林、氨苄西林、亚胺培南、他唑巴坦较为敏感,其中,最为敏感的是亚胺培南。结论:采用正确的治疗方法,加强护理,合理使用抗生素,可增强对小儿脑瘫并发肺部感染的预见性,且疗效显著,值得临床借鉴。
OBJECTIVE: To observe and analyze the predisposing factors, antibiotic resistance and pathogens in children with cerebral palsy complicated by pulmonary infection. Methods: Forty children with cerebral palsy complicated with pulmonary infection admitted to our hospital were retrospectively analyzed for their clinical symptoms, bacteriological characteristics and antibiotic resistance. Results: Children with cerebral palsy and pulmonary infection risk factors for asthma, bedridden and low age (≤ 1 year), the common pathogen is Acinetobacter baumannii, the drug allergy test, showing its sulbactam, Piperacillin, ampicillin, imipenem, tazobactam more sensitive, of which, the most sensitive is imipenem. Conclusion: Correct treatment, intensive care and rational use of antibiotics can enhance the predictive value of pulmonary infection in children with cerebral palsy and have significant curative effect. It is worthy of clinical reference.