呼吸机相关性肺炎68例分析  

Clinical Analysis of 68 Patients with Ventilator-associated Pneumonia

作　　者：刘志遐[1] 胡振红[1] 彭琪琳[1] 傅祖红[1] 司斌[1] 

机构地区：[1]广州军区武汉总医院呼吸内科,武汉430070

出　　处：《华南国防医学杂志》2007年第1期15-17,共3页Military Medical Journal of South China

摘　　要：目的探讨呼吸机相关性肺炎的临床特点及有效治疗措施。方法收集资料完整的呼吸机相关性肺炎68例作临床回顾性分析。结果呼吸机相关性肺炎病原菌以铜绿假单胞菌、克雷伯氏肺炎杆菌、大肠杆菌、金黄色葡萄球菌、沙雷氏菌、不动杆菌及霉菌感染多见,多发生在机械通气3天后。基础疾病有慢性阻塞性肺病、脑血管疾病、胸腹部术后、肾移植术后等。死亡25例。结论对有呼吸机相关性肺炎高危因素的病人应加强肺部感染的防治,以期提高治愈率,降低死亡率。Objective To investgate the clinical features and treatment measures of ventilator-associated pneumonia. Method The clinical data of 68 patients with ventilator-associated pneumonia were analyzed retrospectively. Results The pathogens of ventilator-associated pneumonia ,of which,most ocurred three days or more after the mechanical ventilation,mainly included pseudomonas aeruginosa, klebsjilla ,escherichia coli, staphylococcus aureaus, serratia, acinetobacter and fungus. Of 68 patients with ventilator-associateel pneumonia,47 simultaneously suffered from chronic obstructive pulmonary disease, 9 from cerebrovascular disease,I from pulmonary cancer,5 underwent the operations on the thoraxes and abdoments, 2 received renal transplant and 4 were possoned by fire by firedamp. The 25 patients died. Conclusion The meassures to prevent and treat the pulmonary infecetion should be enhanced in the patieats with high dangerous factor related to ventilator assoicated pneumomia to increase the curative rate and decrease the mortality.

关 键 词：呼吸机相关性肺炎 机械通气 诊断 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]