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本文分析24例老年人院内肺炎的临床资料,对ICU内的老年人院内肺炎的临床和病原学特点、易患因素以及防治对策进行探讨。发现真菌感染与革兰氏阴性杆菌感染同样常见;提出意识障碍、气管内置管、持续机械通气、留量胃管等为重要的诱因;加强人工气道护理、营养支持、合理应用抗生素及消毒隔离是主要的防治措施。
This article analyzes the clinical data of 24 cases of nosocomial pneumonia in the elderly, and discusses the clinical and etiological characteristics, risk factors and prevention and treatment measures of nosocomial pneumonia in the ICU. Found that fungal infections and Gram-negative bacilli infections are also common; proposed disturbance of consciousness, endotracheal tube, continuous mechanical ventilation, gastric tube reserve as an important incentive; strengthen artificial airway care, nutrition support, rational use of antibiotics and disinfection and isolation Is the main control measures.