呼吸机相关性肺炎原因分析与预防护理被引量：2

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摘要临床上抢救重症患者,经常以气管插管或切开接呼吸机进行机械通气（MV）。呼吸机相关性肺炎（VAP）是指应用机械通气治疗后48 h和停用机械通气拔除人工气道48 h内发生的肺实质感染性炎性反应,是机械通气中常见而严重的并发症。在我国，VAP发生率为9％～70％，病死率达50％～69％。VAP发生可导致患者死亡增加、住院时间延长及治疗费用增加。因此，对引起VAP的原因进行分析，并采取有针对性的预防护理，对预防VAP的发生，降低病死率，减少住院时间和费用有重要的临床意义，现报告如下。

作者钟建群

机构地区广西钦州市第一人民医院呼吸内科

出处《吉林医学》 CAS 2012年第28期6261-6262,共2页 Jilin Medical Journal

关键词呼吸机相关性肺炎预防护理

分类号 R473.5 [医药卫生—护理学]

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参考文献5

1罗曙佳.浅谈呼吸机相关性肺炎的预防和护理[J].吉林医学,2012,33(2):405-406. 被引量：4
2殷凯生.呼吸机相关性肺炎的研究近况[J].老年医学与保健,2004,10(1):20-23. 被引量：65
3李华茵,何礼贤,胡必杰,王葆青,张杏怡,陈雪华,董荔.胃腔定植菌在机械通气相关性肺炎发病机制中的作用[J].中华内科杂志,2004,43(2):112-116. 被引量：50
4张庆玲,刘明华,刘玉馥,王仙园,府伟灵.呼吸机相关性肺炎——胃肺感染路径的前瞻性研究[J].中华烧伤杂志,2004,20(1):20-22. 被引量：59
5匡章华,王龙凤.呼吸机相关肺炎的临床分析及护理[J].中国误诊学杂志,2003,3(4):626-627. 被引量：28

二级参考文献32

1吴邯.半坐卧位与平卧位对呼吸机相关性肺炎的影响[J].中华现代护理杂志,2008,14(z1). 被引量：11
2Timsit JF, Cheval C, Gachot B, et al. Usefulness of a strategy based on bronchoscopy with direct examination of bronchoalveolar lavage fluid in the initial antibiotic therapy of suspected ventilator- associated pneumonia. Intensive Care Med,2001,27(4):640
3Mayhall CG. Ventilator- associated pneumonia or not? Contemporary diagnosis. Emerg Infect Dis, 2001,7(2):200- 204.
4Sintchenko V,Iredell JR, Gilbert GL. Antibiotic therpy of ventilator- associated pneumonia- a reappraisal of rationale in the era of bacterial resistance. Int J Antimicrob Agents,2001,18(3):223- 229.
5Rello J, Paiva JA, Baraibar J, et al. International Conference for the development of Consensus on the Diagnosis and Treatment of Ventilator- associated Pneumonia. Chest, 2001,120(3):955- 970.
6Dupont H, Mentec H, Sollet JP, et al. Impact of appropriateness of initial antibiotic therapy on the outcome of ventilator- associated pneumonia. Intensive Care Med,2001,27(2):355- 362.
7Iregui M, Ward S, Sherman G, et al. Clinical importence of delays in the initiation of appropriate antibiotic treatment for ventilator- associated pneumonia. Chest,2002,122(1):262- 268.
8Fowler RA, Flavin KE, Barr J, et al. Variability of antibiotic prescribing patterns and outcome in patients with clinically suspected ventilator- associated pneumonia. Chest,2003,123(3):835- 844.
9Ibrahim EH,Ward S,Sherman G, et al. Experience with a clinical guideline for the treatment of ventilator- associated pneumonia. Crit Care Med,2001,29(6):1109- 1115.
10Cardenosa Cendrero JA;Sole-Violan J;Bordes Benitez A.Role of different routes of tracheal colonization in the development of pneumonia in patients receiving mechanical ventilation[J],1999(2).