呼吸机相关性肺炎临床分析  

67 Cases with Ventilator Correlation Pneumonia Clinical Analysis

作　　者：贾长海[1] 刘建华[1] 温天明[1] 钟兴美[1] 

机构地区：[1]四川省成都市第一人民医院,610041

出　　处：《实用心脑肺血管病杂志》2011年第3期405-406,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨呼吸机相关性肺炎(VAP)易感因素及防治措施。方法回顾性分析67例VAP患者的临床资料。结果分泌物培养发现单一病原菌感染者42例(62.7%),有两种及其以上病菌感染者25例(37.3%),合并真菌感染13例(19.4%)。经过治疗,39例(58.2%)肺炎得到控制,其中,32例(37.8%)脱离呼吸机,2例(3.0%)无法脱机,5例(7.5%)死亡。28例(41.8%)肺炎未愈或原发病加重导致死亡。结论 VAP发病率较高,但是有效的防范措施和治疗措施一定程度上可以降低发病率和病死率。Objective To investigate the susceptibility factors and prevention measures for ventilator-associated pneumonia（VAP）.Methods 67 cases of ventilator-associated pneumonia were retrospective analyzed.Results The secretion culture found that 42 patients（62.7%） infected with single pathogen,there were two or more virus infection in 25 cases（37.3%）,and 13 cases（19.4%） were infected by fungal.After treatment,39 patients（58.2%） were under control,32 cases（37.8%） break away the breathing machine,and 2 cases（3.0%） could not be off-line,33 patients（49.3%） died.Conclusion VAP incidence rate was higher;however,effective prevention measures and treatment measures could reduce the morbidity and mortality in a certain extent.

关 键 词：呼吸机 肺炎 发病率 临床分析 

分 类 号：R563.1[医药卫生—呼吸系统]