摘要
目的探讨重症监护病房呼吸机相关性肺炎的临床特点。方法对重症监护病房37例呼吸机相关性肺炎患者的临床资料进行回顾性分析。结果 37例呼吸机相关性肺炎患者死亡13例,病死率35.1%,病原体培养革兰阴性菌占75.4%,革兰阳性菌占21.5%,真菌占3.1%,耐药情况严重。结论重症监护病房呼吸机相关性肺炎病情重,病死率高,临床上应采取预防为主的综合防治措施,才能最大限度减少呼吸机相关性肺炎的发生。
Objective To explore the clinical features and the prevention strategies of ventilator-associated pneumoma （VAP） in ICU. Methods A total of 37 ICU patients＇ clinical information on VAP was retrospectively analyzed. Results In the 37 ones of VAP, 13 died with a mortality of 35.1%. In the pathogen culture, Gram-negative bacteria accounted for 75.4% , Gram-positive bacteria for 21.5 % , and fungi for 3.1%. Drug resistance was serious. Conclusion The mortality rate of VAP is high. In order to minimize the incidence of VAP, integrate control should be performed, such as educating medical staff, using antibiotics rationally, and paying more attention to prevention and sterilization.
出处
《临床军医杂志》
CAS
2013年第2期119-121,共3页
Clinical Journal of Medical Officers
关键词
呼吸机相关性肺炎
病原体
预后
ventilator-associated pneumonia
pathogen
preventive strategy
