呼吸重症监护室内机械通气相关性肺炎分析及护理对策  

Analysis and nursing of the patients of ventilator-associated peneumonia in the respiratory intensive care unit

作　　者：刘萍珠[1] 邓星奇[1] 周玲[1] 邵小宁[1] 黄岚[1] 

机构地区：[1]复旦大学附属上海市第五人民医院(筹),上海200240

出　　处：《天津护理》2003年第1期11-13,共3页Tianjin Journal of Nursing

摘　　要：目的:探讨呼吸重症监护室内机械通气相关性肺炎发生的原因及护理对策。方法:回顾分析呼吸重症监护室内17例机械通气相关性肺炎的临床资料、病原菌分布情况。结果:呼吸重症监护室36例机械通气患者发生机械通气相关性肺炎17例,发生率为47.22％,死亡4例,病死率23.52％。结论:积极做好呼吸重症监护室内常规护理的同时,应严格掌握有创机械通气指征,提倡早期无创机械通气及有创与无创序贯性机械通气是减少呼吸重症监护室内机械通气相关性肺炎发生的关键。Objective: To explore the possible causes of ventilator-associated pneumonia and the corresponding nursing strategy. Methods: To review the clinical characteristics and bacterial spectra of 17 cases of ventilator-associated pneumonia(VAP) in the respiratory intensive care u-nit. Results: Among the 36-case mechanical ventilation patients, 17casessuffered from VAP, and 4 patients died, The morbidity and mortality was 47. 22% , and 23. 52% respectively. Conclusion: In addition to practicing the routine nursing, masting strictly the indication of mechanical ventilation, combining noninvasive and invasive mechanical ventilation in the early stage may reduce in incidence of VAP in the RICU.

关 键 词：呼吸重症监护室 机械通气相关性肺炎 护理 原因 

分 类 号：R563[医药卫生—呼吸系统]