下列有关呼吸器相关肺炎(Ventilator associated pneumonia;VAP)之描述，何者正确者

gaoxd5

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">下列有关呼吸器相关肺炎</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">(Ventilator associated pneumonia;VAP)</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">之描述，何者正确者？</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">1.</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">指接受呼吸器治疗</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">48</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">小时以上之病患并发细菌性肺炎感染。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">2.VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">的发生率随住院天数每天增加</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">1%</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">；在使用呼吸机的第</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">7</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">天（</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">5-10</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">天）达高峰。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">3.</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">影响</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">感染之相关因素，包含性别年龄、加护病房住院天数、医院属性。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 48pt; TEXT-INDENT: -12pt; mso-char-indent-count: -1.0; mso-para-margin-left: 3.0gd;"><font size="3"><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">4.VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">感染控制计划（</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">HMO</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">计划）包括：床头抬高</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">30</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">度以上、每</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">小时协助病患翻身</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 48pt; mso-para-margin-left: 4.0gd;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">、针对插管或气切病患每</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">小时给予口腔护理。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 0pt;"><span lang="EN-US" style="FONT-SIZE: 8pt; mso-bidi-font-size: 12.0pt;"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman">A) 1+2+3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>B) 2+3+4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>C) 1+3+4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>D) </font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">以上皆正确</span><span lang="EN-US" style="mso-fareast-font-family: 宋体; mso-fareast-language: ZH-CN;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>E) </font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">以上皆不正确</span></font></p>

一枝梅

p>我认为是D ,对不?</p>

safihu

答案就是D,,,,,,,<p class="MsoNormal" align="center" style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center;"><b><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">【</span></b><b><span lang="EN-US" style="FONT-SIZE: 10.5pt; mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">96</font></span></b><b><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">年度台湾医院感染管制学会感染管制师甄试</span></b><b><span style="FONT-SIZE: 10.5pt; mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">
                                </font></span></b><b><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">笔试】</span></b><b><span lang="EN-US" style="FONT-SIZE: 10.5pt; mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman"> A</font></span></b><b><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: &quot;Times New Roman&quot;; mso-hansi-font-family: &quot;Times New Roman&quot;;">卷第20题......https://bbs.sific.com.cn/Dvbbs7.1.0_Ac/dispbbs.asp?boardID=31&amp;ID=415&amp;page=1下载</span></b></p>

木瓜

p>96年的题会不会有点过时了？</p><p>看第一个，VAP指细菌性肺炎？虽然免疫功能正常病人发生VAP时病毒和真菌感染很少，但也不是没有，再说ICU里使用呼吸机的病人有几个是免疫正常的？</p>

绿谷

div class="quote"><b>以下是引用<i>gaoxd5</i>在2007-5-10 14:09:05的发言：</b><br/><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">下列有关呼吸器相关肺炎</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">(Ventilator associated pneumonia;VAP)</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">之描述，何者正确者？</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">1.</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">指接受呼吸器治疗</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">48</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">小时以上之病患并发细菌性肺炎感染。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">2.VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">的发生率随住院天数每天增加</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">1%</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">；在使用呼吸机的第</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">7</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天（</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">5-10</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">天）达高峰。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">3.</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">影响</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">感染之相关因素，包含性别年龄、加护病房住院天数、医院属性。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 48pt; TEXT-INDENT: -12pt; mso-char-indent-count: -1.0; mso-para-margin-left: 3.0gd;"><font size="3"><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">4.VAP</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">感染控制计划（</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">HMO</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">计划）包括：床头抬高</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">30</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">度以上、每</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">小时协助病患翻身</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 48pt; mso-para-margin-left: 4.0gd;"><font size="3"><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">、针对插管或气切病患每</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">2</font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">小时给予口腔护理。</span></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 0pt;"><span lang="EN-US" style="FONT-SIZE: 8pt; mso-bidi-font-size: 12.0pt;"><p><font face="Times New Roman">&nbsp;</font></p></span></p><p><font face="Times New Roman">&nbsp;</font></p><p></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 36pt; mso-char-indent-count: 3.0;"><font size="3"><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman">A) 1+2+3<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>B) 2+3+4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>C) 1+3+4<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>D) </font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">以上皆正确</span><span lang="EN-US" style="mso-fareast-language: ZH-CN; mso-fareast-font-family: 宋体;"><font face="Times New Roman"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>E) </font></span><span style="FONT-FAMILY: 宋体; mso-fareast-language: ZH-CN; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman';">以上皆不正确</span></font></p></div><p><font face="宋体">呼吸<font size="4">器</font>相关肺炎，我觉得应该是呼吸<font size="5">机</font>相关肺炎，您说呢？也许我错了！但我还是认为这样。</font></p>[em09][em09]

木瓜

div class="quote"><b>以下是引用<i>丽水</i>在2007-5-11 9:42:20的发言：</b><br/><p><font face="宋体">呼吸<font size="4">器</font>相关肺炎，我觉得应该是呼吸<font size="5">机</font>相关肺炎，您说呢？也许我错了！但我还是认为这样。</font></p>[em09][em09]</div><p><font size="3">我觉得讲的就是呼吸机相关性肺炎，可能台湾省那边的表述和内地有点不一样。</font></p>

safihu

<div class="quote"><b>以下是引用<i>木瓜</i>在2007-5-11 9:33:38的发言：</b><br/><p>96年的题会不会有点过时了？</p><p>看第一个，VAP指细菌性肺炎？虽然免疫功能正常病人发生VAP时病毒和真菌感染很少，但也不是没有，再说ICU里使用呼吸机的病人有几个是免疫正常的？</p></div><p>看看题目过时吗?呵,,96年度不是1996年,是台湾的记年法嘛</p><p></p><div class="f14">1912年1月1日,孙中山在南京就职,宣告中华民国临时政府成立。宣布改用公历,以1912年为<font color="#ff3300">民国元年</font>，96年度也就是民国96年咯,,,,就是2007年,,,,,,以此类推！ </div>

木瓜

div class="quote"><b>以下是引用<i>safihu</i>在2007-5-11 10:17:17的发言：</b><br/></div><p></p><font size="3">原来是这个说法，受教受教！</font>

一枝梅

是大陆与台湾叫发的差异，都对！！！

gaoxd5

<p><span style="FONT-FAMILY: 宋体; mso-fareast-language: zh-cn; mso-ascii-font-family: 'mso-hansi-font-family:';">

指接受呼吸器治疗48小时以上之病患并发细菌性肺炎感染。

</span></p><p><span style="FONT-FAMILY: 宋体; mso-fareast-language: zh-cn; mso-ascii-font-family: 'mso-hansi-font-family:';">木瓜版主说的也对，其实不单纯是指细菌性肺炎，也包括真菌及其它病原体。</span></p>

木瓜

桃子妖妖

常敬佩木版主“寻根跑底”的精神！:look

桃子妖妖

好意思，打错了，应该是刨。:$

亲亲子衿

感谢老师分享！！！！！！！！！！！