【摘要】 目的分析汶川地震该院收治儿童细菌感染及耐药性情况,评价地震伤儿童治疗方法及效果。方法回顾性分析该院收治汶川地震伤儿童创面或伤口细菌感染特点及地震骨创伤儿童治疗方法和治疗效果。结果收治病例阳性病原菌检出率64.22%(70/109),以鲍曼不动杆菌、铜绿假单胞菌等为主。收治病例无1例继发感染、无死亡病例。骨折病例均痊愈出院。结论地震伤儿童创面感染以革兰阴性条件致病菌为主,对多种抗生素明显耐药。地震后骨创伤儿童反复彻底清创是治疗关键,辅以适当骨折固定材料,能提高患儿疾病治愈率。更多还原

【Abstract】 Objective To analyse the condition of bacteria infection and drug resistance of the patients in wenchuan earthquake.To evaluate the treatment methods and results for earthquake injuried children in our hospital.Methods Retrospective analysis characteristics of the wound bacterial infection as well as treatment methods and results for bone traumatized children during the earthquake in our hospital.Results The positive rate of detected bacteria was 64.22 percent(70/109).The main positive bacteria include the acinetobacter baumannii.There is no death and secondary infection cases.The patients with bone fracture were cured.Conclusion The gram-negative opportunistic pathogen dominate over the wound surface infection of injuried children.The detection of pathogens has obvious drug resistance to antibiotics.Repeated debridement is the key treatment for bone traumatized children after the earthquake.With appropriate fracture fixation materials may enhance the cure rate of childhood illness.更多还原