60例重型颅脑损伤患者呼吸机相关性肺炎临床特点分析  

Clinical analysis of 60 severe traumatic brain injury patients complicated with ventilator associated pneumonia

作　　者：吴广福[1] 

机构地区：[1]亳州市人民医院急诊科,安徽亳州236804

出　　处：《临床肺科杂志》2013年第8期1437-1439,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析重型颅脑损伤患者呼吸相关性肺炎(VAP)的发病情况,以及病原菌的分布、药敏实验等临床特点。方法选取我院收治的300例因颅脑损伤入住重症监护科室的患者临床资料,对住院超过2天的患者有240例,伴有呼吸机相关性肺炎(VAP)发生的60例患者,进行分析。结果 VAP患者有60例,发病率为25.0%;早发性VAP以及迟发性VAP患者例数分别为25例、35例,60例患者中共检出病原菌180株,27例(45.0%)检出大于等于2种病原菌,33例(55.0%)检出1种病原菌。结论重型颅脑损伤患者伴随VAP的发病率较高,其病原菌的耐药性较为显著,在治疗VAP的同时,我们更应当注意无菌操作的重要性和进行抗菌药使用的合理性。Objective To analyze the incidence,the distribution of pathogens and susceptibility test of severe traumatic brain injury patients complicated with ventilator associated pneumonia（VAP）.Methods The clinical data of 60 severe traumatic brain injury patients complicated with VAP were analyzed retrospectively.Results The incidence of VAP was 25.0%,which included 25 cases of early-onset VAP and 35 cases of tardive VAP.180 strains of pathogen were detected,and there existed more than two kinds of pathogen in 27 cases（45.0%） and only one kind of pathogen in 33 cases（55.0%）.Conclusion Patients with severe traumatic brain injury have a high incidence of VAP,and their pathogen show a certain drug resistance.The sterile operation and the reasonable use of antimicrobial drugs should be paid more attention in the treatment of severe traumatic brain injury patients complicated with CAP.

关 键 词：颅脑损伤 呼吸机相关性肺炎 病原菌 

分 类 号：R563.1[医药卫生—呼吸系统]