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目的对呼吸机相关性肺炎(VAP)特征和诊治效果进行探讨与分析。方法 56例呼吸机相关性肺炎患者,对其临床资料进行回顾分析。结果 56例患者共检出60株病原菌,其中45株G-杆菌,占75%;10株G+菌,占16.7%;5株真菌,占8.3%。56例患者中有43例成功脱机,13例死亡,死亡率为23.2%。结论呼吸机相关性肺炎患者容易产生较多的病菌,临床上要对抗生素进行合理使用,通过积极治疗原发病,使使用呼吸机的时间得到缩短,使医源性感染得到降低,以此减少病死率。
Objective To explore and analyze the characteristics and diagnosis and treatment of ventilator-associated pneumonia (VAP). Methods Fifty-six patients with ventilator-associated pneumonia were retrospectively analyzed. Results A total of 60 pathogenic bacteria were detected in 56 patients, of which 45 were G-bacilli, accounting for 75%; 10 G + bacteria accounting for 16.7%; and 5 strains accounting for 8.3%. Forty-three of the 56 patients were successfully taken offline and 13 died, with a 23.2% mortality rate. Conclusions Patients with ventilator-associated pneumonia tend to have more pathogens, and antibiotics should be used clinically rationally. By actively treating the primary disease, the time of using the ventilator can be shortened, and the iatrogenic infection can be reduced, thereby reducing Case fatality rate.