J4 ›› 2015, Vol. 14 ›› Issue (10): 60-64.

• 临床医学 • 上一篇    下一篇

呼吸机相关性肺炎的诊断治疗进展

  

  1. 西双版纳傣族自治州人民医院,云南景洪666100
  • 收稿日期:2015-04-10 出版日期:2015-10-15 发布日期:2015-10-15
  • 作者简介:刘平华,主任医师,主要从事医院管理、重症医学研究.

Progress in the Diagnosis and Treatment of Ventilator Associated Pneumonia

  1. (People's Hospital of Xishuangbanna Dai Autonomous Prefecture, Jinghong, Yunnan 666100, China)
  • Received:2015-04-10 Online:2015-10-15 Published:2015-10-15

摘要:

目的:综述呼吸机相关性肺炎(VAP)的最新诊断和治疗进展。方法:检索收集VAP诊断标准、治疗措施相关文献,进行
归纳整理。结果:缺乏简单可靠的诊断标准导致VAP的临床诊断相对困难,有效的预防措施能显著降低VAP的发生率。抗感
染是VAP治疗的关键,早期应用有效的抗菌药物能显著降低VAP的病死率,缩短患者住院时间。结论:目前VAP的诊断和治
疗仍面临较多问题,早期诊断和有效预防非常关键。

关键词: VAP, 诊断标准, 危险因素, 预防措施

Abstract:

Objective: To review the latest progression of diagnosis and treatment of ventilator associated pneumonia (VAP).
Methods: The relevant literature on the VAP diagnostic criteria and treatment measures were collected and summarized. Results: The
lack of simple and reliable diagnostic criteria made the clinical diagnosis of VAP relatively difficult, and effective preventive measures
can significantly reduce the incidence of VAP. Anti- infection is the key to the treatment of VAP, early application of effective
antibacterial drugs can significantly reduce VAP mortality, and shorten the length of hospitalization time. Conclusion: The diagnosis
and treatment of VAP still remained many problems, early diagnosis and effective prevention are important.

Key words: VAP, diagnostic criteria, risk factors, preventive measures

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