摘要
目的总结心胸外科重症监护室内VAP的发生原因、病原以及预防措施。方法对从2008年1月～2010年3月该院心胸外科重症监护室内发生的VAP31例进行回顾性分析。结果早发性VAP为22例，晚发性VAP为9例；治愈14例，好转2例，转院1例，自动出院9例，死亡5例；25例痰培养阳性，共检出8种不同细菌。结论心胸外科重症监护室内VAP发病率与致死率高，其发生与多种因素有关，只有全体医务人员共同提高防范意识，强化无菌操作观念，合理使用抗生素，规范呼吸机的清洗消毒，才能做到有效预防。
Objective OBJECTIVE To summarize the causes, pathology, and prevention of VAP in the CICU. Methods A retrospective analysis of 31 patients in the CICU of the First Peoples＇ Hospital from January 2008 to March 2010. Results There were 22 early-onset VAP patients and 9 lateonset VAP patients; 14 were cured,2 improved,5 died, 1 was transferred to another hespital,and 9 gave up and left hospital.25 were positive in phlegm culture, 8 kinds of bacteria were found altogether. Conclusion VAP has a high incidence and mortality rate in CICU, for which reasons are varied. To prevent VAP effectively, medical personnel should attach importance to aseptic technique, rational use of antibiotics, and standard ventilator sterilization.
出处
《常州实用医学》
2010年第3期151-155,共5页
CHANGZHOU PRACTICAL MEDICINE
关键词
呼吸机相关肺炎
心胸外科重症监护室
耐药性
清洗消毒
ventilator - associated pneumonia
eardiothoracie intensive care unit
drug - resistance
sterilization
