婴幼儿呼吸机相关性肺炎的临床分析及护理对策

Clinical features and nursing measure of ventilator-associated pneumonia in children

目的：探讨婴幼儿呼吸机相关性肺炎（VAP）的相关因素及护理对策。方法：回顾性分析2006~2009年我院住院并接受机械通气治疗的98例患儿发生VAP情况。结果：98例患儿中共有40例发生VAP,发生率为40.82%,病死率为20%。其主要病原菌为革兰氏阴性杆菌。机械通气时间越长,其VAP发生率越高。结论：在实施机械通气治疗过程中应重视VAP的发生,加强护理工作。严格消毒隔离是预防VAP发生,提高危重患儿机械通气治疗成功率的有效护理措施。

Objective：To investigate the clinical features and nursing measure of ventilator-associated pneumonia in children.Method：Totally 98 cases were hospitalized and received ventilating treatment during 2006-2009.Results：40 cases have been found out ventilator-associated pneumonia,whose occurring rate was 40.82% and death rate was 20%.Its main original bacteria are G-bacteria.The occurring rate of ventilator-associated pneumonia was higher with longer ventilator time.Conclusion：We must pay more attention to ventilator-associated pneumonia occurance,strengthen nursing work and ventilator＇s air passage management so as to raise the success rate of the ventilating treatment.