呼吸机相关性肺炎43例临床回顾分析

目的 通过分析呼吸机相关性肺炎（Ｖｅｎｔｉｌａｔｏｒ－ａｓｓｏｃｉａｔｅｄ ｐｎｅｕｍｏｎｉａ，ＶＡＰ）临床特点，以提高其防治水平。方法 对４３例呼吸机相关性肺炎患者的病情、病种、抗生素使用，转归、感染菌分布等进行分析。结果 昏迷及老年人ＶＡＰ发生率高，慢支呼衰患者ＶＡＰ预后差，抗生素联合、足量、充分、交替应用效果好。结论 针对患者实际民政部采取积 效预防措施，合理使用抗生素，有利于防治ＶＡＰ。

CLINICAL RETROSPECTIVE ANALYSIS OF 43 CASES VENTILATOR-ASSOCIATED PNEUMONIA

Objective To analyse the clinical features of ventilator associated pneumonia (VAP) for the improvement of the treatment. Method 43 cases of VAP were analyzed concerning their general condition, disease types, uses of antibiotics and the distribution of the infectious germs. Result The incidence of VAP were high in comatose and old patients. The prognosis was poor in patients with chronic bronchitis complicated with respiratory failure and with VAP. Large dosage of antibiotics produced good results. Conclusion On basis of the patients' real conditions, effective preventive measures and rational use of antibiotics are useful for both the prevention and the treatment of ventilator associated pneumonia.