CAJ | 학술논문

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。
목적：탐토종류술후환자ICU호흡궤상관성폐염적발생원인。방법278례종류술후행기관삽관혹자기관절개진행궤계통기적환자，대발생호흡궤상관성폐염적환자진행병원미생물적배양，병대환자발생호흡궤상관성폐염적원인진행평개분석。결과278례환자중，유34례발생호흡궤상관성폐염（VAP），VAP적감염솔위12．2％；대발생VAP적34례환자취기표본진행병원미생물적배양，공배양출병원미생물69주，기중혁란씨음성균48주（69．6％），혁란씨양성균12주（17．4％）이급진균9주（13．0％）。호흡궤상관성폐염발생원인：호흡궤적관리불타당35．3％，환자호흡도불통창29．4％。결론종류술후환자ICU호흡궤상관성폐염，발생적최주요원인위호흡궤적관리불타당이급환자호흡도불통창。
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 .