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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。
To investigate neonatal ventilator-associated pneumonia (VAP) prophylaxis, 82 infants treated with ventilator in neonatal intensive care unit from January 1998 to January 2000 were analyzed. The results showed that in 82 cases, 47 cases were complicated with VAP, accounting for 57.3%, 32 cases were cured and 10 cases died; 5 cases were discharged automatically. The cause of death is directly related to severe VAP. Therefore, to reduce the incidence of VAP should pay attention to: 1 to minimize mechanical ventilation time. 2 effective hand washing. 3 to avoid inhalation of ventilator pipe condensate. 4 suction gentle action, pressure control within 1 3 3kPa. 5 Avoid prophylactic acid use. 6 to avoid unnecessary empirical antibiotic use.