新生儿和成人呼吸机相关性肺炎病原菌特点及诊断的比较
[摘要] 目的研究新生儿呼吸机相关性肺炎病原菌特点与诊断,并与成人对比,观察其异同。方法回顾性分析我院新生儿重症监护病房2007年9月1日～2009年8月31日机械通气≥48h的100例患儿临床资料,并与我院外科ICU100例机械通气≥48h的100例患者临床资料进行比较分析。结果 新生儿组中共有52例患儿发生了呼吸机相关性肺炎;而成人组中有38例患者发生了呼吸机相关性肺炎。两组比较差异有统计学意义(P<0.05);两组患者的菌种组成差异无统计学意义(P均>0.05)。结论 呼吸机相关性肺炎发生的概率高,及时有效的治疗与加强预防是降低其发生率与死亡率的重要措施。
[关键词]呼吸机;机械通气;肺炎;病原菌;诊断
[中图分类号] R722.13+5[文献标识码] A[文章编号] 1673-9701(2010)12-148-02
Comparison of Features and Diagnosis of Ventilator-associated Pneumonia Pathogens between Newborns and Adults
OUYANG Xiangdong
Chenzhou No.1 People"s Hospital Children"s Hospital,Chenzhou 423000,China
[Abstract] Objective To study the neonatal ventilator-associated pneumonia pathogen characteristics and diagnosis,and compared with adults,observe their similarities and differences. Methods Retrospective analysis of hospital neonatal intensive care unit September 1,2007 to August 31,2009 mechanical ventilation ≥48h of 100 cases of children with clinical information,and hospital surgical ICU100 cases of mechanical ventilation ≥48h of the The clinical data of 100 patients were analyzed. Results A total of 52 cases of neonatal group occurred in children with ventilator-associated pneumonia;while the adult group,38 patients developed a respiratory-associated pneumonia. The two groups of comparison, the difference was statistically significant(P<0.05); two groups composed of both bacteria in patients with no difference(P>0.05). Conclusion ventilator-associated pneumonia in a high probability of occurrence,timely and effective treatment and strengthen prevention is an important...
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