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目的探究呼吸机相关肺炎的发病原因,为临床治疗提供有力依据。方法选取本院2012年4月~2013年5月收治的43例呼吸机相关肺炎患者作为研究对象,对其致病菌和治疗有效率进行观察分析。结果在43例呼吸机相关肺炎患者中,27例患者为各种细菌混合感染,16例患者为单一细菌感染;阴沟肠杆菌和铜绿假单胞菌对抗生素具有耐药性;总治疗有效率为90.7%;死亡率为9.3%。结论对呼吸机相关肺炎患者进行积极有效的预防、抗菌药治疗以及综合治疗,能够有效提高治疗有效率,降低发生率和病死率。
Objective To investigate the pathogenesis of ventilator-associated pneumonia and provide a strong basis for clinical treatment. Methods Forty-three patients with ventilator-associated pneumonia admitted from April 2012 to May 2013 in our hospital were selected as the research object, and their pathogenic bacteria and treatment efficiency were observed and analyzed. Results Of 43 patients with ventilator-associated pneumonia, 27 were mixed with various bacteria and 16 were single bacterial infections. Enterobacter cloacae and Pseudomonas aeruginosa were resistant to antibiotics. The total effective rate was 90.7%; mortality rate was 9.3%. Conclusion The active and effective prevention, antibiotic treatment and comprehensive treatment of patients with ventilator-associated pneumonia can effectively improve the treatment efficiency, reduce the incidence and mortality.