重症监护病房呼吸机相关性肺炎54例临床分析

目的探讨机械通气导致呼吸机相关性肺炎的防治措施。方法对九龙坡区第二人民医院重症监护病房(ICU)2007年5月至2009年10月发生呼吸机相关性肺炎54例的临床资料进行回顾性分析。结果 54例呼吸机相关性肺炎中,治愈30例,死亡18例,自动出院6例。结论 ICU中呼吸机相关性肺炎发病率高、病死率高,防治呼吸机相关性肺炎应采取综合防治措施,以预防为主,严格无菌操作,尽量缩短机械通气时间,加强机械通气患者的诊疗。

Clinical analysis on 54 cases of ventilator associated pneumonia patients in the ICU

Objective To explore the prevention strategies of ventilator associated pneumonia due to mechanical ventilation.Methods 54 patients′clinical information of ventilator associated pneumonia in the ICU of our hospital during May 2007 to Oct.2009 was analyzed.Results In the 54 patients of ventilator associated pneumonia,30 cases were cured,18 eases were dead and 6 cases were discharged from the hospital on a voluntary.Conclusion The morbidity and mortality of ventilator associated pneumonia are high.In order to control the occurrence and spread of ventilator associated pneumonia integrate control should be performed such as：precaution crucial,paying more attention to sterilization and isolation,shortening the time of ventilator and strengthening the tend of the patients.