ICU医院获得性肺炎97例临床分析

目的：为了解获得性肺炎在重症监护室（ＩＣＵ）内突出的危险因素、病原菌及药敏情况，加强控制。方法：对ＩＣＵ科内９７例院内获得性肺炎状况进行回顾性分析。结果：基础疾病以慢性肺病、急性创伤为主，病原菌以Ｇ－杆菌为主，占 ９３． ３％，其中以铜绿假单胞菌为主，感染时间多见于 ８～１４天。主要诱发因素为重危患者免疫力低下，侵袭性操作，不合理使用抗菌药物。大部分的Ｇ－杆菌对亚胺硫霉素、环丙氟哌酸的总敏感率较高。结论：尽量提高机体免疫力，无菌侵袭性操作，且一定时间变换部位并经常消毒，按药敏选择抗生素。

Clinical analysis about 97 cases of hospital acquired pneumonia in ICU

Objective: To know prominent risking factors, pathogenic bacteria and sensitivity drugs of hospital scquired pneumonia in ICU and to control it. Methods: To retrospective analysis about the 97 cases of hospital acquired pneumonia in ICU. Results: The basic disease was dominated by chronic pulmonary diseases or acute wound. Pathogenic bacteria was dominated by bacterium G- (93. 3% ), with a predominance of bacterium aeruginosum. The time of infection was usually from the sib to 14th day. The precipitating factorswere hypoimmunity, invasion operation, unreasonable, anti-bacterial drags. A lot of bacterium G was susceptible to imipenem and ciprofloxacin. Conclusions: To improve immunity, aseptic technique, always disinfecting and reasonable select anti-bacterial drugs by all means.