中文摘要：

目的探讨甲状腺乳头状癌患者术后发生感染的相关高危因素，并对其提出预防措施。方法回顾性分析163例甲状腺乳头状癌患者临床资料，所有患者均行手术切除治疗，分析其感染情况，并对感染发生的高危因素进行分析。结果163例甲状腺乳头状癌患者术后发生感染10例、15例次，感染率6．1％、例次感染率9．2％；其中以呼吸道感染为主8例次，占53．3％；血糖异常、留置橡胶引流管、引流管天数≥3d的患者感染率分别为12．0％、7．4％、12．0％，与其他组比较，差异有统计学意义（P〈0．05），以上是甲状腺乳头状癌患者发生感染的高危因素。结论甲状腺乳头状癌切除术后感染发生的高危因素与血糖异常、留置橡胶引流管、引流天数较长存在密切的相关性，在临床工作中尽量缩短患者的引流天数，尽早发现和控制感染，提高患者的临床疗效。

英文摘要：

OBJECTIVE To explore the risk factors of infections in patients after thyroid papillary carcinoma resection and give preventive measures. METHODS A retrospective analysis of the clinical data from 163 patients with thyroid papillary carcinoma was taken, and all patients were recorded surgical resection, the situation of the infection and the risk factors were analyzed. RESULTS Among the 163 cases of thyroid papillary carcinoma patients, 10 patients got infections, total 15 cases time of infections, accounting for 6. 1% and 9. 2%, responsibility. There were 8 cases of pulmonary infections, accounting for 53. 3%. The infection rates of abnormal blood glucose, indwelling drainage tube of rubber, drainage tube number longer than 3 d were 12.0 %, 7.4% and 12.0%, which were the risk factors of infections in patients after thyroid papillary carcinoma resection, and compared to other group, the difference was significant （P〈 0. 05）. CONCLUSIONS The risk factors of infections after thyroid papillary carcinoma resection have a close correlation to history of diabetes, indwelling drainage tube of rubber, drainage tube indwelling time. In the clinical work, the drainage tube indwelling time should be shortened and the detection and control should be early to improve the clinical efficacy.