重症监护病房中的呼吸道感染并发症
Respiratory infectious complications in the intensive care unit.
作者信息
Torres A, el-Ebiary M, Rañó A
机构信息
Servei de Pneumologia, Institut Clínic de Malalties Respiratòries, Barcelona, Spain.
出版信息
Clin Chest Med. 1999 Jun;20(2):287-301, viii. doi: 10.1016/s0272-5231(05)70142-8.
Ventilator-associated pneumonia is the most common infectious respiratory complication in intensive care unit patients, particularly those needing mechanical ventilation. Ventilator-associated pneumonia represents a challenging problem in terms of diagnosis, treatment, and prevention. Nosocomial sinusitis is another respiratory infection, not uncommon in mechanically ventilated patients. This type of infection has to be suspected in nasally intubated patients and may be a hidden focus of fever and sepsis.
呼吸机相关性肺炎是重症监护病房患者中最常见的感染性呼吸道并发症，尤其是那些需要机械通气的患者。呼吸机相关性肺炎在诊断、治疗和预防方面都是一个具有挑战性的问题。医院获得性鼻窦炎是另一种呼吸道感染，在机械通气患者中并不少见。对于经鼻插管患者必须怀疑有这种类型的感染，它可能是发热和败血症的一个隐匿病灶。
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