呼吸机相关性肺炎40例临床分析

Ventilator-associated pneumonia in 40 cases

目的:探讨呼吸机相关性肺炎的临床特点和相关的预防措施。方法:对40例临床患有呼吸机相关性肺炎的患者的特点及资料进行回顾性分析。结果:40例患者存在多种患病的危险因素,大多数患者伴有严重的呼吸道感染症状,病原体培养发现革兰阴性杆菌占58.3%,为铜绿假单胞菌、不动杆菌、肺炎克雷伯菌;革兰阳性球菌占6.9%;金黄色葡萄球菌占20.8%,真菌占14.0%,耐药情况严重。结论:呼吸机相关性肺炎与自身情况、疾病程度、机械通气时间等有关,好发于婴幼儿及老年人,发病率高,危害大,需对患者加强预防措施。

Objective：To investigate the ventilator-associated pneumonia clinical features and relevant preventive measures.Methods：40 patients with ventilator-associated pneumonia and the characteristics of the patients were retrospectively analyzed.Results：40 patients had multiple risk factors for the disease,most patients with severe symptoms of respiratory tract infection,pathogens found in gram-negative bacilli culture 58.3%,pseudomonas aeruginosa,acinetobacter,pneumonia clay job strain;gram-positive cocci accounted for 6.9%;20.8% of staphylococcus aureus,fungi accounted for 14.0%,drug resistance in serious condition.Conclusion：The ventilator-associated pneumonia and to their own circumstances,disease extent,duration of mechanical ventilation and other relevant,occur in infants and young children and the elderly,the high incidence of major hazards,the need for patients to strengthen preventive measures.