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目的:探讨呼吸机相关性肺炎(VAP)的临床特点。方法:回顾性分析我院ICU病房43例呼吸机相关性肺炎患者的临床资料,总结呼吸机相关性肺炎的临床特点。结果:43例呼吸机相关性肺炎患者的原因可分为自身因素、外源性因素两类;经综合治疗与护理,本组治愈28例(65.1%),好转9例(20.9%),死亡6例(13.95%),复发几率较高,4例患者肺部感染反复发作,约占10%。结论:呼吸机相关性肺炎是ICU患者加重、死亡的常见原因,做好VAP的防治工作迫在眉睫。
Objective: To investigate the clinical features of ventilator-associated pneumonia (VAP). Methods: The clinical data of 43 patients with ventilator-associated pneumonia in ICU ward of our hospital were retrospectively analyzed. The clinical features of ventilator-associated pneumonia were summarized. Results: The causes of 43 patients with ventilator-associated pneumonia were divided into two groups: self and exogenous factors. After comprehensive treatment and nursing, 28 cases (65.1%) were cured, 9 cases (20.9%) were cured and died 6 cases (13.95%), the recurrence rate is higher, 4 cases of recurrent pulmonary infections, accounting for about 10%. Conclusion: Ventilator-associated pneumonia is a common cause of aggravating and death in ICU patients. It is imminent to make prevention and treatment of VAP.