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老年呼吸机相关性肺炎综合防治的临床研究
引用本文:刘伊辉,郭英. 老年呼吸机相关性肺炎综合防治的临床研究[J]. 中国现代医药杂志, 2006, 8(10): 53-54
作者姓名:刘伊辉  郭英
作者单位:1. 255336,山东淄博,中国石油化工股份有限公司齐鲁分公司职工医院急诊科
2. 山东省潍坊医学院附属医院内一科
摘    要:目的 研究呼吸机相关肺炎(VAP)的综合防治.方法 选取重症监护室(ICU)行气管插管或气管切开机械通气的43例老年患者作为研究对象.结果 25例患者发生了VAP,其发生率为58.14%,VAP的治愈率为52%,好转率为32%,死亡率为16%;VAP中最常见的致病菌依次为肺炎克雷伯氏菌、绿脓杆菌、金黄色葡萄球菌、大肠杆菌.结论 老年VAP的发生率较高,必须采取综合性的预防措施才能有效控制.

关 键 词:呼吸机相关肺炎  机械通气  肺炎  重症监护室
收稿时间:2006-04-18
修稿时间:2006-04-18

The clinical study of integrate control in ventilator-associated pneumoniain in the aged patients
Liu Yihui,Guo Ying. The clinical study of integrate control in ventilator-associated pneumoniain in the aged patients[J]. Modern Medicine Journal of China, 2006, 8(10): 53-54
Authors:Liu Yihui  Guo Ying
Affiliation:Department of emergency, staff-worker hospital of Qilu branch of China Petrochemical Corporation, Zibo 255336
Abstract:Objective To study the method of integrate control in ventilator- associated pneumoniain in the aged patients. Methods Forty-three aged patients with mechanical ventilation were selected from intensive care unit. Results Twenty-five patients had VAP. The incidence rate of VAP was 58.14%, the cure rate of VAP was 51.16%, the improvement rate of VAP was 32.56%, the mortality of VAP was 16.28%. The frequent pathogenic bacteria were pneumonia Keleibai bacteria, aeruginosus Bacillus, Staphylococcus aureus and colibacillus. Conclusion The incidence rate of VAP was higher in the aged patients, comprehensive preventive measures should be taken to control the occurrence of VAP.
Keywords:Ventilator-associated pneumonia Mechanical ventilation Pneumonia Intensive care unit
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