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目的探讨呼吸机相关性肺炎(VAP)的临床诊断和治疗方法。方法 58例接受机械通气治疗后发生VAP患者,回顾分析其临床以及病原学特点,探讨合理有效的诊断以及治疗方法。结果本组58例患者共检出病原菌61株,其中,46株(75.4%)革兰阴性菌(G-),8株(13.1%)革兰阳性菌(G+),7株(11.5%)真菌;治疗后24例痊愈,16例显效,9例好转,9例无效,总有效率为84.5%。结论 VAP的致病菌种类较多,及早进行细菌培养和药敏试验,合理应用抗生素并积极治疗原发病,可有效缩短呼吸机使用时间,改善临床预后。
Objective To investigate the clinical diagnosis and treatment of ventilator-associated pneumonia (VAP). Methods Fifty-eight patients with VAP who underwent mechanical ventilation were retrospectively analyzed for their clinical and etiological characteristics and to explore reasonable and effective diagnosis and treatment. Results A total of 61 pathogenic bacteria were detected in 58 patients in this study, of which 46 (75.4%) were Gram - negative bacteria (G -), 8 (13.1%) were Gram - positive bacteria and 7 (11.5% Fungi. After treatment, 24 cases were cured, 16 cases markedly effective, 9 cases improved, 9 cases ineffective, the total effective rate was 84.5%. Conclusions VAP has more pathogens, early bacterial culture and susceptibility testing, rational use of antibiotics and active treatment of primary disease can effectively shorten the time of ventilator and improve clinical prognosis.