肺癌手术后呼吸道感染与病理类型相关性的临床分析

目的分析肺癌手术后发生呼吸道感染病例，与不同病理类型之间的相关性，为预防术后感染的高危病理类型患者采取措施。方法回顾254例肺癌手术患者中发生呼吸道感染的46例，结合病理类型分析。结果254例手术患者中46例发生呼吸道感染，感染率18．11％。其中鳞癌31例（占67．39％），腺癌12例（占26．09％），细支气管肺泡癌2例（占0．04％），腺鳞癌1例（占0．02％）。结论肺癌术后呼吸道感染率发生率较高，尤其是鳞癌患者明显增高，术前、术中和术后的准备、治疗及抗生素的使用需引起高度重视。

Relationship of nosocomial respiratory infection and pathological type in lung cancer patients after surgical treatment

Objective To analyze nosocomial respiratory infection cases in lung cancer patients after surgical treatment and the correlative factors in different cases. Method 46 cases that had hospital acquired infection out of 254 surgically treated patients with lung cancer were analyzed statistically. Results Out of the 254 surgically treated patients, 46 cases were infected in hospital after operation with a total infection rate of 18. 11%. The most prevalent species were the squamous cell carcinoma with 31 cases （67. 39% ）, followed by adenecarcinoma of 12 cases （26. 09% ） , bronchoalyeolar carcinoma of 2 cases （0. 04% ） and adenosquamous carcinoma of 1 cases （0. 02% ）. Conclusion The infection rate of bacteria in lung cancer patients after operational treatment is high. Thus effective measures should be taken to prevent and control nosocomial infection in lung cancer patients, including rational use of antibiotics.