33例重症脑血管疾病并发肺损伤的临床分析  

The clinical analysis of 33 cases of severe cerebrovascular disease complicated with lung injury

作　　者：欧阳取平[1] 

机构地区：[1]北京市顺义区医院神经内二科,101300

出　　处：《中国医师进修杂志》2014年第21期11-13,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨重症脑血管疾病并发肺损伤的临床特点。方法回顾性分析46例重症脑血管疾病患者的临床资料，对并发肺损伤的原因、危险因素、临床表现等进行分析。结果46例重症脑血管疾病患者中33例出现肺部并发症，占71．7％（33／46），其中28例并发肺部感染；3例并发神经源性肺水肿（其中2例系丘脑出血破入脑室者，1例系昏迷的蛛网膜下隙出血者，最后死亡）；2例并发肺栓塞（该2例患者均系高龄、既往有肺部基础疾病以及肢体完全瘫痪、发病后卧床2周以上）。高龄、意识障碍、吞咽困难、卧床时间等是导致重症脑血管疾病并发肺损伤的重要危险因素（P〈0．05）。结论肺损伤是重症脑血管疾病患者的常见并发症，降低其发生率，关键在于早期评估、早期预防、早期诊断和治疗。Objective To investigate the clinical characteristics of severe cerebrovaseular disease complicated with lung injury. Methods The clinical data of 46 cases of severe cerebrovascular disease were retrospectively analyzed. The cause, risk factors, clinical manifestations of lung injury were also analyzed. Results In 46 cases of severe eerebrovascular disease, 33 cases [ 71.7% （33/46）] occured lung injury, including 28 eases of lung infection, 3 cases of neurogenic lung edema,2 eases of lung embolism. Great age, disturbance of consciousness, swallowing disorders, bed time were the important risk factors for lung injury （P 〈 0.05 ）. Conclusions Lung injury is a common complication of severe cerebrovascular disease. Early assessment, early prevention and early diagnosis and treatment are the keys for reducing its incidence.

关 键 词：脑血管障碍 肺损伤 并发症 

分 类 号：R743[医药卫生—神经病学与精神病学]