呼吸机相关性肺炎的护理对策

呼吸机相关性肺炎（Ventilator—associated pneumonia，VAP）是指应用机械通气治疗48h后和停用机械通气拔除人工气道48h内发生的肺实质的感染性炎症。在重症监护病房（ICU），随着呼吸机机械通气治疗呼吸衰竭的广泛应用，呼吸机相关性肺炎（VAP）已成为机械通气治疗过程中的一种常见严重的并发症。发生VAP不仅造成脱机困难，而且使患者住院费用和病死率显著增加，是院内感染死亡的主要原因之一。为此，我们对呼吸机相关性肺炎的高危因素及护理对策进行探讨，以求得更为有效的防治。

Nursing strategy in ventilator-associated pneumonia Tianjin people''s hospital

VAP refers to infectious inflammation in lungs either after 48 hours on mechanical ventilation or within 48 hours after extubation. In ICU setting, VAP is a common severe complication during mechanical ventilation. Because VAP, weaning from ventilator become difficult. VAP is a common cause leading to death for patients with nosocomial infections, in addition, VAP can make mortality and cost increase. The high risk factors and nursing strategy in VAP were paid more attention to in order to have more effective prevention and treatment for VAP.