摘要
目的探讨肿瘤术后患者ICU呼吸机相关性肺炎的发生原因。方法 278例肿瘤术后行气管插管或者气管切开进行机械通气的患者,对发生呼吸机相关性肺炎的患者进行病原微生物的培养,并对患者发生呼吸机相关性肺炎的原因进行评价分析。结果 278例患者中,有34例发生呼吸机相关性肺炎(VAP),VAP的感染率为12.2%;对发生VAP的34例患者取其标本进行病原微生物的培养,共培养出病原微生物69株,其中革兰氏阴性菌48株(69.6%),革兰氏阳性菌12株(17.4%)以及真菌9株(13.0%)。呼吸机相关性肺炎发生原因:呼吸机的管理不妥当35.3%,患者呼吸道不通畅29.4%。结论肿瘤术后患者ICU呼吸机相关性肺炎,发生的最主要原因为呼吸机的管理不妥当以及患者呼吸道不通畅。
Objective To investigate the causes of ICU in patients with ventilator-associated pneumonia after tumor resection . Methods In 278 patients with mechanical ventilation after tumor resection of tracheal intubation or tracheotomy ,culture of path-ogenic microorganisms on the incidence of ventilator-associated pneumonia patients ,and the patients with VAP were analyzed .Re-sults In 278 patients,34 patients with ventilator-associated pneumonia（VAP）,VAP infection rate was 12.2%;cultivation of mi-crobial pathogens in 34 cases of VAP patients and its sampling specimens ,train a total of 69 pathogenic microorganisms including gram negative bacteria,48 strains（69.6%）,gram positive bacteria and 12 strains（17.4%） and 9 strains of fungi（13%）.The reason of ventilator associated pneumonia：ventilator management improper 35.3%,29.4%patients with respiratory tract obstruc-tion .Conclusion ICU patients with ventilator-associated pneumonia after tumor resection ,the main causes for ventilator manage-ment is inappropriate and patients with respiratory tract obstruction .
出处
《实用癌症杂志》
2014年第4期457-459,共3页
The Practical Journal of Cancer
