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呼吸机相关性肺炎32例临床分析
引用本文:刘中华,刘国平,贺志文.呼吸机相关性肺炎32例临床分析[J].中国医药导报,2011,8(27):163-164.
作者姓名:刘中华  刘国平  贺志文
作者单位:湖南省湘潭市中心医院呼吸内科,湖南湘潭,411100
摘    要:目的:探讨呼吸机相关性肺炎(VAP)的临床特点,为有效防治VAP提供科学依据。方法:回顾性分析2007年1月~2010年12月我院收治的32例VAP患者的临床资料。结果:机械通气2~5 d的VAP发生率为20.45%,机械通气5 d以上的VAP发生率为57.50%,两者比较差异有统计学意义(P〈0.05);VAP患者的病原菌以革兰阴性杆菌为主,占69.36%;多种致病菌感染者的死亡率高于单一致病菌感染患者,两者比较差异有高度统计学意义(P〈0.01)。结论:呼吸机相关性肺炎的发生率高,治疗难度大。临床应以预防为主,尽量减少机械通气的时间,合理使用抗生素,以降低呼吸机相关性肺炎的发生。

关 键 词:呼吸机相关性肺炎  机械通气  临床分析

Clinical analysis of 32 cases with ventilator-associated pneumonia
LIU Zhonghua,LIU Guoping,HE Zhiwen.Clinical analysis of 32 cases with ventilator-associated pneumonia[J].China Medical Herald,2011,8(27):163-164.
Authors:LIU Zhonghua  LIU Guoping  HE Zhiwen
Institution:LIU Zhonghua,LIU Guoping,HE Zhiwen Respiratory Medicine,Central Hospital of Xiangtan City,Hu'nan Province,Xiangtan 411100,China
Abstract:Objective: To explore the clinical features of ventilator-associated pneumonia(VAP) in order to provide scientific evidence for effective prevention and treatment of the disease.Methods: The clinical data of 32 cases with VAP patients were analyzed retrospectively in our hospital from January 2007 to December 2010.Results: The incidence of VAP among patients who received 2-5 days of mechanical ventilation was 20.45%,and that of patients who received more than 5 days of mechanical ventilation was 57.50%,with...
Keywords:Ventilator-associated pneumonia  Mechanical ventilation  Clinical analysis  
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