摘要
目的了解呼吸机相关性肺炎(VAP)的临床特点及病原菌感染情况。方法回顾性总结分析40例行机械通气患者发生VAP的临床资料。结果所有患者均存在一种以上VAP的危险因素,多数患者的临床呼吸道感染症状严重,痰培养分离出61株病原菌,其中革兰阴性杆菌占57.4%,革兰阳性球菌占19.7%,真菌占22.9%,耐药情况较严重。结论呼吸机相关性肺炎与通气时间有关,致病菌以革兰氏阴性杆菌为主,发生率高,危害大,治疗较难,须加强以预防为主的防治工作,以降低发生率及死亡率。
Objective To know ventilator- associated pneumonia （VAP） and the clinical characteristics of the pathogen infection. Methods A retrospective analysis of 40 patients with routine mechanical ventilation VAP occurred in the clinical data. Results All patients with VAP there are more than one risk factor for the majority of patients with clinical symptoms of severe respiratory tract infection, cultured phlegm isolated 61 pathogens, including gram- negative bacilli account for 57.4 percent, gram -positive cocci accounted for 19.7 percent, accounting for Fungi 22.9% , drug resist- ance poses a problem. Conclusion Ventilator - associated pneumonia and ventilation time, Gram - negative bacteria to bacteria - based, high incidence of harm, treatment is more difficuh to step up prevention -oriented prevention anti treatment in order to reduce the incidence anti mortality.
出处
《医药论坛杂志》
2008年第24期32-33,共2页
Journal of Medical Forum
关键词
呼吸机相关性肺炎
机械通气
革兰阴性杆菌
预防
Ventilator - associated pneumonia
Mechanical ventilation
Gram - negative bacteria
Prevention
