呼吸道感染性通气治疗的研究最新进展

The Latest Progress in the Research of Respiratory Tract Infectious Ventilation Therapy

机械通气治疗2d后发生的下呼吸道感染临床将其称为VARI(呼吸机相关性下呼吸道感染),VAP(呼吸机相关性肺炎)和VAT(呼吸机相关性气管支气管炎)是其主要表现。目前临床对于VAT和VAP较难做出区分,VARI通常表示存在感染情况,应及时进行抗生素治疗。本文将对VARI的发病机制、微生物诊断进行分析,进一步明确定植和感染,降低VAP、VAT的发生率。

The lower respiratory tract infections that occur after 2 days of mechanical ventilation treatment are clinically referred to as VARI(ventilator-associated lower respiratory tract infection),VAP(ventilator-associated pneumonia)and VAT(ventilator-associated tracheobronchitis)are its main performance.At present,it is difficult to distinguish between VAT and VAP.VARI usually indicates that there is an infection,and antibiotic treatment should be carried out in time.This article will analyze the pathogenesis and microbial diagnosis of VARI,further clearly identify plant and infection,and reduce the incidence of VAP and VAT.