老年急性脑血管病合并吸入性肺炎83例临床分析  

Clinical analysis of acute cerebrovascular diseases combined with aspiration pneumonia based on 83 elderly patients

作　　者：成昱 田玉金 

机构地区：[1]北京市老年病医院,北京100029

出　　处：《中国医药科学》2016年第8期15-19,共5页China Medicine And Pharmacy

摘　　要：目的探讨老年急性脑血管病合并吸入性肺炎的临床特点。方法根据2011年1月~2015年5月我院收治老年急性脑血管病患者247例,其中合并吸入性肺炎83例,对其危险因素、并发症、病原菌等进行分析。结果本组病例发现老年急性脑血管病合并吸入性肺炎常见的危险因素与基础疾病、高龄、脑血管病病变部位、吞咽功能、意识状态等有关,临床症状、体征多不典型,常见致病菌以铜绿假单胞菌、大肠埃希氏菌和肺炎克雷白菌最为多见,且并发症多、死亡率高。结论老年急性脑血管病合并吸入性肺炎患者在积极治疗感染的同时对患者误吸的原因进行有效的防控,重视护理及康复的结合,防止病情反复,改善预后。Objective To explore the clinical features of acute cerebrovascular diseases combined with aspiration pneumonia in elderly patients. Methods There were 247 elderly patients with acute cerebrovascular diseases in our hospital from January 2011 to May 2015, 83 cases among them who suffered acute cerebrovascular diseases combined with aspiration pneumonia were selected. The risk factors, complications, and pathogenic bacteria of the combined disease were analyzed. Results The results showed that the common risk factors of the combined disease have correlations with the underlying diseases, old age, cerebrovascular disease region, swallowing function, and conscious state of the patients, the clinical signs and symptoms are ususlly not typical, the common pathogenic bacteria are pseudomonas aeruginosa, escherichia coli and klebsiella pneumonia, the complications are usual, and the mortality is high. Conclusion When actively treating the elderly patients with acute cerebrovascular diseases and aspiration pneumonia, we should effectively prevent the causes of aspiration, pay attention to the combination of nursing and rehabilitation, prevent recurrence of the disease, and improve the prognosis.

关 键 词：急性脑血管病 吸入性肺炎 危险因素 临床特点 

分 类 号：R743.3[医药卫生—神经病学与精神病学]