摘要
目的探讨呼吸机相关肺炎(VAP)的致病因素、病原菌分布、治疗及预防措施。方法回顾性分析36例VAP患者临床资料、致病菌及治疗方案等。结果 VAP发生率为5.5%,病死率为22.2%。主要致病菌为革兰阴性杆菌(66.0%),以铜绿假单胞菌、肺炎克雷伯菌和大肠埃希菌为主;革兰阳性球菌占25.5%,主要为金黄色葡萄球菌;真菌占8.5%,主要为白色念珠菌。结论对机械通气患者采取积极有效预防,及时有效应用抗菌药治疗和综合治疗,可以减少VAP发生率,降低病死率。
Objective To investigate the etiological factors,pathogenic bacterium,measure of treatment and prevention.Methods The clinic data,pathogenic bacterium and therapeutic regimen of 36 patients suffered from ventilator-associated pneumonia(VAP) were analyzed retrospectively.Results The incidence rate of VAP and mortality rate in this group was 5.5% and 22.2% respectively.The main pathogenic bacterium were Gram-Negative bacillus,which taken up of 66.0%,and commonlly included Pseudomonas aeruginosa,klebsiella pneumoniae and escherichaiacoli.Gram-positive coccus and eumycete were hold 25.5% and 5.5%respectively.The former were chiefly Staphylococcus aureus and the later were Blastomyces albicans.Conclusion Active prevention,effective antibiotics and combined therapy can decrease the incidence rate of VAP and cut down mortality rate.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第16期2192-2193,共2页
Chongqing medicine
关键词
呼吸机相关肺炎
致病菌
临床分析
ventilator-associated pneumonia
pathogen
clinical analysis