老年呼吸机相关性肺炎的临床分析  

Clinical analysis of ventilator-associated pneumonia in elderly patients

作　　者：胡振宇[1] 

机构地区：[1]北京航天中心医院呼吸科,北京100049

出　　处：《临床肺科杂志》2013年第4期595-596,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨老年呼吸机相关肺炎(VAP)的预防与治疗。方法选取我科重症监护室(ICU)收治的34例行气管插管或气管切开机械通气老年患者,记录其治疗阶段的症状、体征变化。结果发生呼吸机相关肺炎者11例,占总人数的32.35%,其中4例经积极治疗痊愈,2例症状缓解,5例死亡,其死亡率为45.45%。老年呼吸机相关性肺炎最常见的致病菌分别为绿脓杆菌、鲍曼不动杆菌、肺炎克雷伯氏菌、大肠埃希菌、金黄色葡萄球菌。结论老龄患者极易发生呼吸机相关肺炎,临床中必须积极做好预防和综合治疗。Objective To investigate the prevention and treatment of elderly patients with ventilator-associated pneumonia （VAP）. Methods 34 elderly patients with tracheal intubation or tracheotomy for mechanical ventilation in ICU were selected and their treatment symptoms and signs of change were recorded. Results 11 cases occurred ventilator-associated pneumonia, and 4 of them were cured, 2 cases remitted, 5 deaths reported. The mortality rate was 45.45%. The most common pathogenic bacteria were pseudomonas aeruginosa, followed by acinetobacter acinetobacter, klebsiella pneumoniae, escherichia coli, staphylococcus aureus. Conclusion The ventilator-associated pneumonia easily occurs in elderly patients, and the prevention and comprehensive treatment must be given in clinical practice.

关 键 词：呼吸机相关肺炎 机械通气 肺炎 重症监护室 

分 类 号：R563.1[医药卫生—呼吸系统]