国际儿科学杂志
國際兒科學雜誌
국제인과학잡지
INTERNATIONAL JOURNAL OF PEDIATRICS
2010年
3期
301-304
,共4页
肺炎%机械通气%新生儿%院内感染
肺炎%機械通氣%新生兒%院內感染
폐염%궤계통기%신생인%원내감염
Pneuonia%Mechanical ventilation%Neonates%Nosocomial infection
新生儿呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)的诊断标准目前还不够完善;其危险因素包括体位、医务人员配置情况、有创操作等;母乳喂养、加强医务人员教育管理、提高护理水平可降低VAP发病率;抗酸药物、选择性消化道净化、皮肤保护剂是否能降低VAP发病率还有争议;新生儿VAP的病原菌国内主要是肺炎克雷伯杆菌、大肠杆菌、铜绿假单胞菌、鲍曼不动杆菌杆等;VAP应采用综合的防治措施,合理选用抗生素,并注意全身支持治疗.
新生兒呼吸機相關性肺炎(ventilator-associated pneumonia,VAP)的診斷標準目前還不夠完善;其危險因素包括體位、醫務人員配置情況、有創操作等;母乳餵養、加彊醫務人員教育管理、提高護理水平可降低VAP髮病率;抗痠藥物、選擇性消化道淨化、皮膚保護劑是否能降低VAP髮病率還有爭議;新生兒VAP的病原菌國內主要是肺炎剋雷伯桿菌、大腸桿菌、銅綠假單胞菌、鮑曼不動桿菌桿等;VAP應採用綜閤的防治措施,閤理選用抗生素,併註意全身支持治療.
신생인호흡궤상관성폐염(ventilator-associated pneumonia,VAP)적진단표준목전환불구완선;기위험인소포괄체위、의무인원배치정황、유창조작등;모유위양、가강의무인원교육관리、제고호리수평가강저VAP발병솔;항산약물、선택성소화도정화、피부보호제시부능강저VAP발병솔환유쟁의;신생인VAP적병원균국내주요시폐염극뢰백간균、대장간균、동록가단포균、포만불동간균간등;VAP응채용종합적방치조시,합리선용항생소,병주의전신지지치료.
At present,the standard for the diagnosis of ventilator-associated pneumonia(VAP)is imperfect.The risk factors of VAP include body position, medical staffing, invasive procedure and so on. To strengthen the education and management of medical staff, improve the standard of care and breast feeding can reduce the incidence rate of VAP.There are controversial that H2 blockers/sucralfate, selective digestive tract decontamination and topical treatment with skin barrier can reduce the incidence rate of VAP. Common pathogenic bacteria of VAP are Klebsiella pneumoniae,Escherichia coli,Pseudomonas aeruginosa,Baumanii and so on in our country.Compreh-ensive prevention and treatment measures including selection of antibiotics appropriately and generalized supportive therapy should be applied.
