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呼吸机相关性肺炎:重在预防 被引量:24

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摘要 呼吸机相关性肺炎(ventilator-associated pneum-onia,VAP)是机械通气患者常见并发症,是重症医学科(ICU)患者最常见的院内感染之一.尽管重症医学的飞速发展、机械通气技术日益普及和提高、广谱抗生素广泛使用,VAP发病率及病死率仍居高不下[1].因此,如何有效预防VAP成为重症医生越来越关注的问题.2013年中华医学会重症医学分会制定了〈VAP的诊断、预防和治疗指南>,其中如何预防VAP成为大家感兴趣的焦点.从某种意义上说VAP也同肿瘤、冠心病和糖尿病等许多疾病一样,预防的意义远远大于治疗,要通过积极预防措施的实施和贯彻,努力实现ICU内VAP零感染.〈VAP指南>预防部分根据涉及的内容方向不同分为4部分:与器械相关的预防措施、与操作相关的预防措施、药物预防和集束化预防方案.
出处 《中华医学杂志》 CAS CSCD 北大核心 2014年第5期326-328,共3页 National Medical Journal of China
作者简介 通信作者:邱海波,Email:haiboq2000@gmail.com
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