Encke A
Chirurgische Universitätsklinik Frankfurt/M.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1061-2.
Intensive care patients suffer according to literature in 20-60% from pneumonia with a mortality up to 80%. The patient, operation and postoperative therapy influence its pathogenesis. Mechanical ventilation is a special risk factor. However, in this regard origin and sequelae may not be changed by mistake. Specifity of clinical and plain X-ray diagnosis is only 30-50%. Selective gastrointestinal decontamination, exactly monitored fluid balance, and physio-, and paintherapy seem to be valuable preventive measures.
根据文献报道，重症监护患者中有20% - 60%会患上肺炎，死亡率高达80%。患者自身情况、手术及术后治疗都会影响肺炎的发病机制。机械通气是一个特殊的风险因素。然而，在这方面，病因和后遗症不应被误诊。临床及普通X光诊断的特异性仅为30% - 50%。选择性胃肠道去污、精确监测液体平衡以及物理治疗和疼痛治疗似乎是有价值的预防措施。
