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在我国医院内感染病例中,肺部感染居于首位,占医院内感染总数的23.3％～42.0％,因此,控制呼吸道的医院内感染是医院内感染工作的一个重要部分。各个医院针对呼吸道医院内感染的易感因素采取了积极的措施,尤其使用呼吸机、气管插管等,均制定了严格的消毒隔离措施,呼吸道医院内感染的发生率已明显下降。但是,很多医院对辅助通气手段之一的简易呼吸囊的消毒却重视不够,甚至开院至今尚未对呼吸囊进行消毒。笔者就呼吸囊内存菌与呼吸道菌群的关系作一分析,并探讨未经消毒的呼吸囊与医院内感染的关系,以期引起各级医院对呼吸囊消毒的重视。
In our country, the most common case of nosocomial infections is lung infection, accounting for 23.3% ~ 42.0% of the total number of nosocomial infections. Therefore, nosocomial infection that controls the respiratory tract is an important part of the hospital infection. Various hospitals have taken positive measures to address the susceptibility factors of respiratory tract infections in hospitals. In particular, strict measures of disinfection and isolation have been formulated, especially the use of ventilators and endotracheal intubation. The incidence of respiratory infections in respiratory hospitals has dropped significantly. However, in many hospitals, the disinfection of the simple respiratory capsule, which is one of the auxiliary ventilation methods, is not sufficiently taken care of. Even the respiratory capsule has not been disinfected even before the hospital is opened. The author analyzes the relationship between respiratory bursal bacteria and respiratory flora, and explores the relationship between non-sterile respiratory bladders and nosocomial infections in order to arouse the attention of all levels of hospitals to the respiratory bursa.