摘要
本文分析24例老年人院内肺炎的临床资料,对ICU内的老年人院内肺炎的临床和病原学特点、易患因素以及防治对策进行探讨。发现真菌感染与革兰氏阴性杆菌感染同样常见;提出意识障碍、气管内置管、持续机械通气、留量胃管等为重要的诱因;加强人工气道护理、营养支持、合理应用抗生素及消毒隔离是主要的防治措施。
24 cases of nosocomial pneumonia of the elderly in ICU are reported. Their clinical char-acteristics, aetiology, risk factors, and measures of control are discussed. It is found that fungusinfections are common as Gram-negative bacillus infections, and that the risk factors may includeuncosciousness, tracheostomy or intubation, long- term mechanical ventilation, and gastric tuberremaining. It is suggested that airway management, nutritional support, rational application ofantibiotics, sterilization and isolation,etc. be major measurement in prevertion of infections.
出处
《急诊医学》
CSCD
1996年第2期78-80,共3页
关键词
肺炎
医院感染
真菌
中老年人
ICU
Nosocomial pneumonia Fungus infection Gram-negative bacillus infection Mechanical ventilation Sterilization & isolation