Cardiothoracic Surgery: Cardiothoracic |

The Risk Factor of Postoperative Pulmonary Infection in Patients With Esophageal Cancer FREE TO VIEW

Feng Zhang
Author and Funding Information

Harbin Medical University Cancer Hospital, Harbin, China

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A56. doi:10.1016/j.chest.2016.02.059
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SESSION TITLE: Cardiothoracic

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: Analysis of postoperative pulmonary infection explore the risk factors and preventive measures.

METHODS: Randomly selected in December 2013 ∼ December 2014 in our hospital for treatment of esophageal cancer surgery parallel 60 patients for the study, all patients were randomly divided into experimental group and control group 30 cases, 30 cases in which patients in the experimental group patients After the first day of the third generation cephalosporin administered / sulbactam preparation of anti-infection treatment, control group received second-generation cephalosporins in surgery to prevent infection, appears to be switching to third generation cephalosporin antibiotic sensitive bacterial culture or lung infection. Treatment time of one week, comparative analysis of the occurrence of two groups of patients with pulmonary infection related factors.

RESULTS: All 60 patients had 46 cases of lung infection, lung infection rate was 76.7 percent, which left chest through an incision surgery two cases, both through the right chest incision 8 patients, the right chest three incisions 36 patients. There are significant differences (P <0.05) after chest incision through the right chest incision incidence of lung infection. Lung infections in patients with a history of smoking and a history of diabetes, high blood pressure of the majority. Patients in the control group were 28 cases of pulmonary infection, lung infection rate in the control group was 93.3%, and 1 died. 18 patients in the experimental group, the experimental group and 60% of lung infection. Two groups of patients probability of pulmonary infection was significantly different (P <0.05), postoperative lung infection mortality rate was 1.6%.

CONCLUSIONS: Having a history of smoking and hypertension, in patients with diabetes whose higher incidence of postoperative pulmonary infection, early postoperative use of third generation cephalosporins / sulbactam preparation to prevent lung infection have good results, worthy of clinical application. Surgical lung infection correlated.


DISCLOSURE: The following authors have nothing to disclose: Feng Zhang

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