急性期脑卒中并发肺部感染86例临床分析

目的：探讨脑卒中急性期并发肺部感染的相关临床因素及对预后的影响。方法：收集673例急性脑卒中住院患者的临床资料，分析86例并发肺部感染与相关临床因素的关系。结果：本纽673例急性脑卒中并发肺部感染率为12．8％。意识障碍、吞咽障碍以及慢性肺部疾病史与肺部感染的发生有显著性关系（P〈0．01）；高龄、脑卒中类型、脑卒中史等与肺部感染发生有显著性关系（P〈0．05）。脑卒中病情越重，肺部感染发生率越高，肺部感染组病死率为15．1％明显高于非肺部感染组的3．6％（P〈0．01）。结论：脑卒中急性期患者肺部感染是由于多种因素相互作用的结果，严重影响其预后。

Clinical Analysis of 86 Cases With Acute Phase of Cerebral Stroke Complicated With Pulmonary Infection

Objective： To investigate the risk factors and prognosis in patients with acute phase of stroke complicated with pulmonary infection. Methods： Clinical data of 673 cases with acute cerebral stroke were collected, and 86 cases who complicated with pulmonary infection were analyzed retrospectively. Results： The incidence of complicating pulmonary infection was 12. 8% in 673 cases with acute stroke. Consciousness, dysphagia, chronic obstructive pulmonary disease were significantly correlated with the incidence of the lung infection （P〈0. 01）. Elderly, type of stroke, and past history of stroke were also correlated （P〈0. 05）. The more serious the stroke, the higher incidence of the lung infection. The mortality was significantly higher in pulmonary infection group （15. 1%） than that in non- pulmonary infection group （3. 6%） （P〈0. 01）. Conclusions： Pulmonary infection in patients with stroke are caused by many risk factors, and the prognosis is affected significantly.