【摘要】  目的 分析儿童呼吸机相关性肺炎(VAP)的病原学特点和临床特点,探讨预防及护理对策。方法 回顾性分析30 例机械通气患儿并发VAP的临床资料。结果**************结论************************************。

【关键字】  呼吸机相关性肺炎,儿童,护理

中图分类号:R473.72;R563.1文献标识码:B文章编号:1671-8194(2011)05-0016-02

[Abstract] Objective Analysis of the pathogenic features and clinical characteristics of children with ventilator-associated pneumonia (VAP), to explore its prevention measures and nursing strategy. Methods Retrospectively analyzed the clinical data of 30 cases of children with respiratory mechanical VAP.
Results 46 cases of mechanical ventilation in children 3 to 31 days, after symptomatic treatment and targeted with reasonable care and bacterial susceptibility testing to select effective antibiotics, recovered 39 cases, accounting for 84.78%, 6 died, accounting for 13.04%.


    呼吸机相关性肺炎的(ventilator-associated pneumonia,VAP)是指在机械通气@@h后发生的院内肺部感染或原有肺部感染用呼吸机@@h以上发生的新的病情变化,是一种影响机械通气患儿治疗和预后的严重并发症。有报道其病死率高达50%~71%[1]。因此,预防VAP的发生是提高危重患儿抢救成功率的关键。现对商丘市第一人民医院2007年1月至2010年12月进行机械通气并发VAP 的30例患儿护理干预措施报道如下。