重症监护病房患者肺部并发症的研究

Tanko Balázs, Ráduly Gergő, Kovács Judit
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摘要

摘要简介:呼吸系统并发症在重症监护室是重要的,因为他们的频率和他们的负面影响的基础疾病的进程。这些并发症的主要危险因素之一是机械通气,这通常应用于危重患者。我们的目的是确定重症监护病房(ICU)患者呼吸系统并发症的发生率、危险因素及其对预后的影响。材料和方法:在我们的回顾性研究中,我们纳入了2019年1月1日至4月30日期间在 rgu穆雷涅特急救县医院重症监护室住了至少5天的成年患者,我们排除了转诊有任何呼吸病理的患者。结果:75例患者中49%出现呼吸道并发症,56%为肺炎。我们观察到并发症的发生与吸烟(p= 0.0103)和延长机械通气(p= 0.0255)有关。呼吸道并发症患者ICU住院时间明显延长(p=0.0010)。结论:重症监护室患者肺部并发症发生率较高,且对住院时间有显著影响。
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Study of pulmonary complications in patients referred to the intensive care unit
Abstract Introduction: Respiratory complications in the intensive care unit are important because of their frequency and their negative impact on the course of the underlying disease. One of the main risk factors for these complications is mechanical ventilation, which is often applied in critically ill patients. Our aim was to determine the incidence, risk factors and the impact of respiratory complications on the prognosis in the patients admitted to the intensive care unit (ICU). Material and method: In our retrospective study we included adult patients who spent at least 5 days in the intensive care unit of the Emergency County Hospital Târgu Mureș between 1st of January- 30th of April 2019, we excluded patients who were referred with any respiratory pathology. Results: Of the 75 patients included 49% developed respiratory complications, 56% of which were pneumonia. We observed an association between the development of complications and smoking (p= 0.0103) and prolonged mechanical ventilation (p= 0.0255). ICU admission was significantly longer in patients with respiratory complications (p=0.0010). Conclusions: The incidence of pulmonary complications is high among patients referred to intensive care units and has a significant impact on the length of hospital stay.
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