ICU患者鼻竇炎發(fā)生機(jī)制及其治療進(jìn)展
發(fā)布時間：2018-08-24 11:01
【摘要】：正醫(yī)源性鼻竇炎(NS)在ICU患者較為常見,它可引起通氣相關(guān)性肺炎及敗血癥[1],并已被確定為不明原因發(fā)熱的獨立因素(16.2%)或復(fù)合因素(13.8%)[2]。ICU氣管插管患者48h內(nèi)75%病例可在CT影像學(xué)上發(fā)現(xiàn)鼻旁竇的病理改變,機(jī)械通氣患者NS的病理生理學(xué)發(fā)病因素可能是多因素和難以理解的,見圖1。本綜述將回顧ICU患者NS病理生理學(xué)中的一些重要因素及其潛在發(fā)生機(jī)制,可有助于改善預(yù)防策略和治療方法。
[Abstract]:Positive iatrogenic sinusitis (NS) is more common in patients with ICU. It can cause ventilator-associated pneumonia and septicemia [1], and has been identified as an independent factor (16.2%) or a compound factor (13.8%) for fever of unknown origin. 75% of patients with tracheal intubation in ICU can find pathological changes of paranasal sinus on CT imaging within 48 hours. The pathophysiological factors of NS in patients with mechanical ventilation may be multivariate and difficult to understand, as shown in figure 1. This review will review some important factors and their underlying pathogenesis in NS pathophysiology in ICU patients, which may be helpful to improve prevention strategies and treatment methods.
【作者單位】： 寧波市鄞州人民醫(yī)院ICU;
【分類號】：R765.41
[Abstract]:Positive iatrogenic sinusitis (NS) is more common in patients with ICU. It can cause ventilator-associated pneumonia and septicemia [1], and has been identified as an independent factor (16.2%) or a compound factor (13.8%) for fever of unknown origin. 75% of patients with tracheal intubation in ICU can find pathological changes of paranasal sinus on CT imaging within 48 hours. The pathophysiological factors of NS in patients with mechanical ventilation may be multivariate and difficult to understand, as shown in figure 1. This review will review some important factors and their underlying pathogenesis in NS pathophysiology in ICU patients, which may be helpful to improve prevention strategies and treatment methods.
【作者單位】： 寧波市鄞州人民醫(yī)院ICU;
【分類號】：R765.41
【共引文獻(xiàn)】
相關(guān)期刊論文 前1條
1 王首紅;覃鐵和;蔣文新;藍(lán)惠蘭;鄧宇s，
本文編號：2200610
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