@article {Torres1729作者={和El-Ebiary托雷斯,M和太阳系,N和作品,C和法布雷加斯,N和埃尔南德斯,C}, title ={胃的机械通气期间呼吸道的殖民:与机械通气相关肺炎与},体积={9}={8},页面={1729 - 1735}={1996},出版商={欧洲呼吸学会},抽象与机械通气相关肺炎(VAP)的aetiopathogenesis ={需要异常的口咽和胃殖民和其内容的进一步的愿望更低的航空公司。188bet官网地址VAP的发展容易如果愿望或接种的微生物发生在患者人工气道,在机械,细胞和/或体液防御改变。著名的胃殖民的风险因素包括:改变胃液分泌;碱化的胃内容物;肠内营养的管理;和胆红素的存在。然而,殖民地的角色VAP胃储层开发的仍然是有争议的。证据支持的角色发展的胃VAP主要来自随机对照试验的选择性肠道去污和压力溃疡预防重症监护室(ICU),减少细菌的胃的负担减少院内呼吸道感染的发生率。然而,至少有三种植物的研究发现没有胃的起源肺炎发生在机械通气。预防措施建议预防VAP的胃储层包括:治疗与硫糖铝压力溃疡; prevention of duodenal reflux with metoclopramide; reduction of gastric burden and bacterial translocation by selective digestive decontamination; acidification of enteral feeding; and jejunal feeding. Gastro-oesophageal reflux can be prevented by using small bore nasogastric tubes and jejunal feeding. The aspiration of gastric contents can be reduced by positioning patients in a semirecumbent position, checking the patency of the tube cuff, and aspiration of subglottic secretions. The role of the stomach as a reservoir for microorganisms causing ventilator-associated pneumonia is still controversial but despite the debate, there is major evidence in the literature in favour of the gastric origin of part of these pulmonary infections.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/9/8/1729}, eprint = {//www.qdcxjkg.com/content/9/8/1729.full.pdf}, journal = {European Respiratory Journal} }