【摘要】 为探讨新生儿呼吸机相关肺炎 (VAP)预防措施 ,对 1 998年 1月 2 0 0 0年 6月新生儿重症监护病房中应用呼吸机治疗的 82例患儿进行分析。结果显示 82例并发VAP 47例 ,占 57 3 %,治愈 3 2例 ,死亡 1 0例 ;自动出院 5例。死亡原因与严重VAP有直接关系。因此 ,为减少VAP发生应注意 :1 尽量缩短机械通气时间。 2 有效洗手。 3 避免呼吸机管道内凝水吸入。 4 吸痰时动作轻柔 ,压力控制在 1 3 3kPa以内。 5 避免预防性应用制酸药。 6 避免不必要的经验性抗生素使用。更多还原

【Abstract】 In order to investigate the prophylactic methods of ventilator associated pneumonia (VAP), clinical information of 82 infants ventilated in the neonatal intensive care unit (NICU) during January 1998 to June 2000 was analyzed, 47 patients (about 57.2%) suffered from VAP: 32 patients recovered; 10 patients died; 5 patients discharged from the hospital with their own wills. The cause of death has the direct relationships with the severity of VAP. The procedures to reduce the incidence of VAP include first, reducing mechanical ventilation time as short as possible; second, cleaning hands effectively; third, avoiding inhaling the congealing water in the ventilator tube; fourth, absorbing the sputum softly and make sure the pressure within 13.3Kpa; fifth, avoiding using the preventive anti-acid drugs; sixth, avoiding using antibiotic for experienced treatment.更多还原