机械通气患者的经验性抗生素应用和调整  

THE EXPERIENCE ANTIBIOTIC UTILIZING AND ADJUSTING ON MACHINERY VENTILATING CASES

作　　者：杨萍[1] 关建华 陈剑颖 徐祖熹[1] 

机构地区：[1]福建莆田学院临床医学系内科教研室,351100 [2]福建莆田市第一医院呼吸内科

出　　处：《牡丹江医学院学报》2003年第4期15-17,共3页Journal of Mudanjiang Medical University

摘　　要：目的 :观察 76例呼吸衰竭患者的机械通气的经验性抗生素应用和调整。方法 :分析建立人工通气后 ,先经验性应用抗生素 ,后根据下呼吸道分泌物培养及药敏情况 ,调整抗生素的应用。结果 :76例机械通气中有 4 9例发生呼吸机相关肺炎 ,发病率为 6 4 .5 %,其中机械通气 >6d者 ,引起呼吸机相关肺炎在所难免。结论 :预测可能发生呼吸机相关肺炎 ,在尚未有药敏试验结果前 ,经验性抗生素治疗是可行的 ,它是预防性、有效性和经验性的统一。Objective :observe the experience antibiotic utilizing and adjusting on 76 respiration prostration cases' machinery Ventilating. Method: analysis after setting up artificial ventilating, first by experience antibiotic treating, then according to downward respiratory tract secrete developing condition and medicine allergy situation, adjust antibiotic's utilizing. Result: 49 cases occur related pneumonia of respiration function among 76 machinery Ventilating patients, the incidence of disease is 64.5%, and among the cases of more than Six-days machinery ventilating, it is inevitable to occur related pneumonia of respiration function. Conclusion: calculate to occur related pneumonia of respiration function, before no medical allergy testing result, it is feasible to take experience antibiotic treatment, it is the unity of prevention effectiveness and experience.

关 键 词：机械通气 经验性抗生素 临床应用 药物敏感试验 呼吸机相关肺炎 

分 类 号：R459.6[医药卫生—治疗学] R978.1[医药卫生—临床医学]