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目的探讨急诊插管后呼吸机相关性肺炎(ventilartor associ-ated pneumonia,VAP)的危险因素及治疗对策,提高抢救危重患者能力。方法回顾性分析行急诊插管机械通气的180例危重患者的临床资料。结果患者年龄、机械通气时间、气管切开、再次插管、心肺脑复苏、插管前是否使用抗菌药物、胃内容物的吸入等因素与VAP的发生有明显关系(P<0.01)。结论采取联合多种措施减少和避免危险因素,提高对VAP发生的警觉性,预防和减少VAP的发生,能有效抢救危重患者的生命。
Objective To investigate the risk factors and treatment strategies of ventilator - associated pneumonia (VAP) after emergency intubation and improve the ability of emergency treatment for critically ill patients. Methods The clinical data of 180 critically ill patients undergoing emergency intubation and mechanical ventilation were retrospectively analyzed. Results The age, duration of mechanical ventilation, tracheotomy, reintubation, cardiopulmonary resuscitation, antibiotics before intubation, inhalation of gastric contents and other factors were significantly associated with the occurrence of VAP (P <0.01). Conclusions A combination of various measures to reduce and avoid risk factors, improve the alertness of VAP, prevent and reduce the incidence of VAP, can effectively rescue critically ill patients.