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机械通气是抢救严重呼吸衰竭的重要 措施,但机械通气也增加了医院内获得性感 染的机会。其中以院内获得性肺炎的发生率 居首位,机械通气患者发生院内获得肺炎又 称为机械通气相关性肺炎(ventilat associatedpneumnonia,VAP)。本文对新生儿重症监护 病房应用呼吸器治疗的68例进行分析,探讨 机械通气相关性肺炎的危险因素,及可采取 的相应的策略。 对象与方法 一、对象 1998年1月~2000年12月NICU收住 的建立机械通气患儿,选择其中资料完整者 68例。男45例;女23例。早产儿48例;足
Mechanical ventilation is an important measure to rescue severe respiratory failure, but mechanical ventilation also increases the chances of acquired infections in the hospital. Among them, the incidence of nosocomial pneumonia was the highest, and hospital acquired pneumonia was also called ventilatory associated pneumonia (VAP) in patients with mechanical ventilation. In this paper, 68 cases of neonatal intensive care unit using respirator treatment were analyzed to explore the risk factors of mechanical ventilation-related pneumonia and the corresponding strategies can be taken. Subjects and methods First, the object January 1998 ~ December 2000 NICU admitted to the establishment of mechanical ventilation in children, select one of 68 cases of complete information. 45 males and 23 females. 48 cases of premature children; foot