摘要
目的分析儿童呼吸机相关性肺炎(VAP)的病原学特点和临床特点,探讨预防及护理对策。方法回顾性分析30例机械通气患儿并发VAP的临床资料。结果 46例患儿机械通气时间3～31d,经对症处理和针对性的合理护理并配合细菌药敏试验选择有效的抗菌药物,痊愈39例,占84.78%,死亡6例,占13.04%。结论对实施机械通气的患儿要密切监测病情变化,加强气道湿化,规范各项操作规程,严格消毒隔离制度是减少VAP发生的关键。
Objective Analysis of the pathogenic features and clinical characteristics of children with ventilator-associated pneumonia（VAP）,to explore its prevention measures and nursing strategy.Methods Retrospectively analyzed the clinical data of 30 cases of children with respiratory mechanical VAP.Results 46 cases of mechanical ventilation in children 3 to 31 days,after symptomatic treatment and targeted with reasonable care and bacterial susceptibility testing to select effective antibiotics,recovered 39 cases,accounting for 84.78%,6 died,accounting for 13.04%.Conclusion The implementation of mechanical ventilation in children with the disease should be closely monitored changes in airway humidification to strengthen and standardize the rules,strict disinfection and isolation system is the key to reduce the occurrence of VAP.
出处
《中国医药指南》
2011年第5期16-17,共2页
Guide of China Medicine
关键词
呼吸机相关性肺炎
儿童
护理
Ventilator-associated pneumonia
Children
Nursing
