摘要
对６１５例ＩＣＵ出院患者进行回顾性调查，院内肺炎６８例，发病率为１１．０６％。原发病的危重程度与院内肺炎的发生密切相关，医源性相关因素（机械通气、气管插管或切开、抗生素的使用、免疫抑制剂的使用及抗酸剂的使用）的单因素分析均有统计学意义。院内肺炎的主要致病菌为绿脓杆菌、肺炎杆菌、大肠杆菌、金黄色葡萄球菌、表皮葡萄球菌和白色念珠菌。作者对院内肺炎的发病机理、诊断和防治方法作了简要讨论。
616 patients
discharged from the ICU of ourhospital between January,1990 and December,1991were
retrospectively studied.Nosocomial pneumoniawas found in 68 patients with an infection rate
of11.06%,The sevcrity of thc Drimary diseases wasclosely related to the incidence of
nosocomial pneu-monia·The predisposing factors of nosocomialpneumonla included
mechanical venlilation,trachealintubation,tracheotomy.administration of
antibiot-ics,immunosuppressants and antacids ,which wereall studied with single factor
analysis and were foundtohave stalistical signiflcance. The prevalentpathogens of nosocomial
pneumonia werepseudomonas aeruginosa,klebsiella pneumoniae andamotile bacillus.The
pathogenic Gram positive cocciwere staphylococcus aureus and
staphylococusepidermidis.Fungal infection was caused by candldaalbicans,The
Dathogenesis,diagnosls,prevenllon andtreatment of nosocomial pneumonia are briefly
dis-Cussed.
出处
《中国危重病急救医学》
CAS
CSCD
1994年第1期19-21,共3页
Chinese Critical Care Medicine
