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目的:探讨ICU呼吸机相关性肺炎的临床特点和预防策略。方法:对60例临床患有呼吸机相关性肺炎患者的特点及资料进行回顾性分析。结果:60例存在多种患病的危险因素,大多数患者伴有严重的呼吸道感染症状,病原体培养发现革兰阴性杆菌占61.8%,为铜绿假单胞菌、不动杆菌、肺炎克雷伯菌;革兰阳性球菌占7.6%;金黄色葡萄球菌占21.8%,真菌占8.8%,耐药情况严重。结论:呼吸机相关性肺炎与自身情况,疾病程度,机械通气时间等有关,老年人发病率高,危害大,应严格遵守抗生素使用原则,加强ICU室内管理以及改进和完善护理操作程序。
Objective: To investigate the clinical features and preventive strategies of ICU ventilator-associated pneumonia. Methods: The clinical data and characteristics of 60 patients with ventilator-associated pneumonia were retrospectively analyzed. Results: There were many risk factors in 60 cases. Most patients had severe respiratory tract infection symptoms. Gram-negative bacilli accounted for 61.8% in pathogen culture, which were Pseudomonas aeruginosa, Acinetobacter, Klebsiella pneumonia Gram-positive cocci accounted for 7.6%; Staphylococcus aureus accounted for 21.8%, fungi accounted for 8.8%, resistance was serious. CONCLUSIONS: Ventilator-associated pneumonia is related to its own condition, disease severity and mechanical ventilation time. The incidence of the elderly is high and the harm is great. The principle of antibiotic use should be strictly followed to strengthen the ICU’s indoor management and to improve and perfect the nursing operation procedure.