摘要
目的观察急诊危重监护室(ICU)73例机械通气患者经验性抗生素应用和调整。方法对73例机械通气患者在治疗前和治疗后,通过无菌吸痰管从气管插管或内套管采集下呼吸道分泌物进行病原菌培养。并进行经验性应用抗生素3d,根据分泌物培养病原菌情况及药敏实验结果,调整抗生素应用。结果73例机械通气中有49例发生呼吸机相关肺炎,发病率为67.12%,其中机械通气>6d者,均引起呼吸机相关性肺炎。其致病菌以G-菌为主。结论在尚未有药敏试验结果前,在急诊危重监护室经验性抗生素治疗是可行的,它是预防性、有效性和经验性的统一。
Objective To explore the experiential antibiotic utilizing and adjusting of 73 patients with machinery ventilation. Methods Before and for 3 d after antibiotic utilizing, the lower respiratory tract secretion was collected from the suction tube or the inner endotracheal tube by aseptic method. According to the culture results and drug sensitivity of bacteria, antibiotics were adjusted. Results Of the 73 patients, 49 got respirator related pneumonia and the pneumonia incidence was 67.1%. In the patients with respirator more than 6 d, the pneumonia was unavoidable. The main pathogens were G-. Conclusion Before getting the drug sensitivity result, the antibiotic utilizing in the patients with respirator is feasible, which is the unity of prevention, effectiveness and experience.
出处
《山西医科大学学报》
CAS
2005年第3期322-324,共3页
Journal of Shanxi Medical University
关键词
加强医疗病房
呼吸
人工
抗生素类
intensive care units
respiration, artificial
antibiotics
