612例老年人急性脑血管病并发肺部感染的临床特点分析

目的:研究引起老年人急性脑血管病(ACVD)并发肺部感染的发生率,死亡率增高的原因及防治措施。方法:回顾性地分析了612例老年人ACVD并发肺部感染的临床资料。结果:老年人ACVD并发肺部感染发病率为24.7％;病死率占31.5％,明显高于同期未并发肺部感染的AVCD病死率(P<0.01)。病死率与AVCD的类型、发病前所患的慢性疾病、各衰竭器官的发生率和器官衰竭数目关系密切。结论:老年人ACVD发病后,应重视和处理引起肺部感染的因素,减少多器官功能衰竭(MOF)的发生率,由此可望降低AVVD并发肺部感染的死亡率。

Clinical Analysis on 612 Senile Patients of Acute Cerebrovascular Disease with PulmonaryInfection

Objective: To research the causes of high morbidity, mortality and its propnyiaxis ana treating measure about acute cerebrovascular diseases (ACVD) with pulmonary infections in elderly. Methods: We retrospectively analyzed clinical data of 612 senile patients of ACVD with pulmonary infection. Results: The morbidity in ACVD without pulmonary infection group was 24.7% and mortality was 31.5%, both were higher than that of ACVD without pulmonary infection group in same term (p<0.01). The mortality was related to the type of ACVD and underlying chromic diseases and morbidity as well as number of organ failures. Conclusion: Much attention should be paid to the causes of pulmonary infection and handle it so as to decrease the morbidity of MOF and reduce mortality of ACVD with pulmonary infection, after onset of ACVD in elderly.