脑出血患者合并肺部感染临床分析

目的:探讨脑出血患者医院内肺部感染的危险因素与对策。方法:回顾分析2002年1月-2007年9月我院收治的643例脑出血患者并发肺部感染的临床资料。结果:脑出血患者并发肺部感染时间多在病后1周,危险因素有年龄、糖尿病史、吸烟史、空腹血糖水平及脑出血部位、出血量、意识状态、脑组织中线移位和血肿破入脑室(P<0.01);结论:严格执行操作程序和相应控制措施才能有效预防脑出血并发肺部感染,从而降低死亡率。

Clinical Analysis of Intracerebral Hemorrage Patients with Pulmonary Infection

Objective:To investigate the risk factors and treatment of pulmonary infection of intracerebral hemorrhage(ICH)in the hospital.Methods:To analyze the clinical data of patients with pulmonary infection after ICH in our hospital retrospectively.Results:The first week after ICH was the fastigium.The risk factors included old age,diabetes,smoking,the volume and part of the emorrhage,consciousness state,shift of the mid-line,accompany cerebroventricular hemorrhage and level of glucose(P<0.01).Conclusion:Control of the risk factors in time can prevent pulmonary infection during hospital and reduce the motality.