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目的通过对严重腹腔感染腹腔开放患者机械通气期间采取相应的护理措施,预防呼吸机相关性肺炎(VAP)的发生。方法做好专职的气道护理,实行良好的手部卫生,每天给患者抬高床头,做好口腔护理尤其是气管插管患者的口腔护理,帮助和协助患者早期活动,使用梯度治疗装置来防止静脉血栓的形成,做好肠内营养的护理—肠内营养管应超过幽门,营养液由营养泵持续输入等护理预防措施。结果有效的减少了患者VAP的发生率,提高了救治成功率。结论严重腹腔感染腹腔开放的患者机械通气期间VAP发生率高,通过有效的护理预防措施可以减少其发生率。
Objective To prevent the occurrence of ventilator-associated pneumonia (VAP) by adopting corresponding nursing measures during mechanical ventilation in patients with severe abdominal infection of abdominal cavity. Methods To do a full-time airway care, the implementation of a good hand hygiene, daily lifting the bed to the patient, good oral care, especially oral intubation patients oral care to help and assist patients with early activities, the use of gradient therapy device to prevent The formation of venous thrombosis, good enteral nutrition care - enteral nutrition tube should be more than pylorus, nutrient solution by the continuous infusion of nutrition pumps and other preventive measures. The results effectively reduce the incidence of VAP in patients and improve the success rate of treatment. Conclusion The incidence of VAP during mechanical ventilation in patients with severe abdominal infection of abdominal cavity is high, and its incidence can be reduced by effective nursing preventive measures.