中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2012年
4期
352-356
,共5页
呼吸机相关性肺炎%病原%诊断%预防
呼吸機相關性肺炎%病原%診斷%預防
호흡궤상관성폐염%병원%진단%예방
Ventilator associated pneumonia%Pathogens%Diagnosis%Prevention
本文系统介绍了呼吸机相关性肺炎的易感因素与病原、不同年龄患儿的诊断标准,回顾了呼吸机相关性肺炎的捆绑式预防方案的每一项措施:抬高患儿床头、每日打断镇静和每日进行撤机试验、预防消化性溃疡病、预防深静脉血栓及每日用氯己定进行口腔护理.此外,还对近年新型气管内导管预防呼吸机相关性肺炎作了介绍.
本文繫統介紹瞭呼吸機相關性肺炎的易感因素與病原、不同年齡患兒的診斷標準,迴顧瞭呼吸機相關性肺炎的捆綁式預防方案的每一項措施:抬高患兒床頭、每日打斷鎮靜和每日進行撤機試驗、預防消化性潰瘍病、預防深靜脈血栓及每日用氯己定進行口腔護理.此外,還對近年新型氣管內導管預防呼吸機相關性肺炎作瞭介紹.
본문계통개소료호흡궤상관성폐염적역감인소여병원、불동년령환인적진단표준,회고료호흡궤상관성폐염적곤방식예방방안적매일항조시:태고환인상두、매일타단진정화매일진행철궤시험、예방소화성궤양병、예방심정맥혈전급매일용록기정진행구강호리.차외,환대근년신형기관내도관예방호흡궤상관성폐염작료개소.
The purpose of this article was to review the current knowledge base related to the risk factors,pathogens,diagnosis and to review and evaluate the strategies to reduce ventilator associated pneumonia (VAP),especially ventilator bundles for prevention of VAP which including elevation of the head of the bed,daily sedative interruption and daily assessment readiness of extubate,peptic ulcer disease prophylaxis,deep venous thrombosis prophylaxis,daily oral care with chlorhexidine.This article also reviewed the role of new type endotracheal tube in reducing incidence of VAP.
