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目的:对急症重症监护病房呼吸机相关肺炎的临床进行研究,并且对其病原学特点进行分析。方法:选择2012年6月-2013年6月入我院急症重症监护病房接受治疗的患者中出现呼吸机相关性肺炎的48例患者的临床资料进行回顾性分析,研究其病原菌以及耐药性,并且进行统计学处理。结果:在138例实施了人工气道机械通气的患者中,有48例患者出现了呼吸机相关性肺炎,呼吸机相关性肺炎的发生率为34.7%;48例出现呼吸机相关性肺炎的患者上机时间明显较未出现相关性肺炎的患者的上机时间长;另外,使用抗菌药物不能明显降低相关性肺炎的发生率。结论:患者出现呼吸机相关性肺炎是使用机械通气治疗失败的主要原因之一。在使用机械通气治疗过程中药对消毒、无菌操作引起重视是预防患者出现呼吸机相关性肺炎的有效措施,并且还应该根据药敏实验合理的使用抗菌药物。
Objective: To study the clinical features of ventilator-associated pneumonia in acute intensive care unit and to analyze its etiological characteristics. Methods: The clinical data of 48 patients with ventilator-associated pneumonia who were admitted to our hospital from June 2012 to June 2013 in our acute care unit were retrospectively analyzed. The pathogenic bacteria, drug resistance, And statistical analysis. RESULTS: Of the 138 patients who underwent artificial airway mechanical ventilation, 48 patients developed ventilator-associated pneumonia with a rate of ventilator-associated pneumonia of 34.7%; 48 patients developed ventilator-associated pneumonia On-machine time was significantly longer than patients without associated pneumonia on the machine a long time; In addition, the use of antimicrobial drugs can not significantly reduce the incidence of pneumonia. Conclusions: Ventilator-associated pneumonia is one of the major causes of failure of mechanical ventilation in patients. In the use of mechanical ventilation during the treatment of drugs on the disinfection, aseptic operation, attention is to prevent the occurrence of ventilator-associated pneumonia in patients with effective measures, and should also be based on susceptibility testing rational use of antimicrobial agents.