ICU患者鼻窦炎发生机制及其治疗进展
发布时间：2018-08-24 11:01
【摘要】：正医源性鼻窦炎(NS)在ICU患者较为常见,它可引起通气相关性肺炎及败血症[1],并已被确定为不明原因发热的独立因素(16.2%)或复合因素(13.8%)[2]。ICU气管插管患者48h内75%病例可在CT影像学上发现鼻旁窦的病理改变,机械通气患者NS的病理生理学发病因素可能是多因素和难以理解的,见图1。本综述将回顾ICU患者NS病理生理学中的一些重要因素及其潜在发生机制,可有助于改善预防策略和治疗方法。
[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.
【作者单位】： 宁波市鄞州人民医院ICU;
【分类号】：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.
【作者单位】： 宁波市鄞州人民医院ICU;
【分类号】：R765.41
【共引文献】
相关期刊论文 前1条
1 王首红;覃铁和;蒋文新;蓝惠兰;邓宇s，
本文编号：2200610
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