急性脑卒中并肺部感染临床分析  

Clinical analysis of pneumonia in patients with acute stroke.

作　　者：林小荣[1] 林春暖[1] 许月明[1] 钟娉红[1] 黄彩华[1] 潘素琪[1] 

机构地区：[1]汕头大学医学院第二附属医院急诊科,广东汕头515041

出　　处：《临床和实验医学杂志》2006年第6期654-655,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨急性脑卒中患者合并肺部感染的发病机制、影响因素和转归。方法分析2002年1月至2005年12月汕头大学医学院第二附属医院神经科收治的急性脑卒中患者312例,探讨肺部感染的发生与脑卒中的类型、病情程度、年龄,住院时间长短、合并基础疾病及预后等因素的关系。结果高龄、病情重、住院时间长、原有心脏病、糖尿病、既往有中风病史患者,其肺部感染率明显升高,并发肺部感染的脑卒中患者病死率明显升高。结论控制肺部感染可有效提高急性脑卒中的救治成功率。Objective To study the pathogenesis and the prognosis of pneumonia in patients with acute stroke and factors affecting its morbidity and mortality. Methods Three hundred and twelve patients with acute stroke treated at our department from Jan 2002 to Dec 2005 were eligible for the study. We analyzed the relationship between the incidence of pneumonia and the type/sevet4ty of the stroke, age of the patients, duration of hospital stay, preexisting disease and the prognosis of the patients. Results Elderly subjects, disease of more severe nature, longer hospital stay, patients with preexisting heart disease or diabetes and with history of previous stroke were at increased risk for developing pneumonia, Mortality rates significantly increased in patients complicated by pneumonia. Conclusion Prevention of pneumonia may help to improve prognosis of patients with stroke.

关 键 词：急性脑卒中 肺部感染 病死率 

分 类 号：R743.3[医药卫生—神经病学与精神病学]