中国呼吸与危重监护杂志

中国呼吸与危重监护杂志

呼吸机相关性肺炎

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呼吸机相关性肺炎( VAP) 是指患者接受机械通气治疗48 h 后至停用机械通气、拔除人工气道后48 h 内发生的肺实质的感染性炎症。为接受机械通气患者最常见的院内感
染。VAP的发生率和病死率由于诊断手段不同, 报道不一。国外报道, VAP 发生率为9% ~70% [ 1] , 病死率高达20% ~71% [ 2, 3] ; 国内医院调查, VAP发生率为48. 5% , 病死率为37. 5% [ 4] 。患者一旦发生VAP, 易造成撤机困难, 并可导致患者在ICU的停留时间及住院时间延长, 增加相关的医疗费用, 严重者可导致患者死亡。因此, VAP的早期预防、早期诊断和治疗就显得非常重要, 本文就近年来VAP 的诊治现状做一概述, 以供同道参考。

关键词: 呼吸机相关性肺炎

Key words: Ventilator-Associated Pneumonia

引用本文: 罗运山,万献尧. 呼吸机相关性肺炎. 中国呼吸与危重监护杂志, 2010, 9(3): 335-340. doi: 复制

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