热毒宁注射液治疗儿童普通型手足口病38例

目的总结急性脑卒中合并肺部感染的临床表现、实验室检查、影像学资料，探讨如何正确诊断卒中相关性肺炎、合理安排检查及合理使用抗生素。方法回顾性分析73例临床诊断急性出血性脑卒中合并肺部感染并在30天内死亡病例的临床资料。结果73例患者中男性41例，女性32例；合并高血压38例，糖尿病10例，慢性肾脏病5例，COPD5例；发热67例，肺部阳性体征30例，46例白细胞总数〉10×10^9／L，65例中性粒细胞〉70％；48例安排胸片检查，胸片异常37例；23例有痰培养或涂片检查，痰培养阳性13例；使用舒普深6例，泰能1例，27例喹喏酮类抗生素，余使用头孢一代或二代抗生素。结论肺部感染是急性出血性脑卒中的常见并发症，在诊断时应重视影像学检查和病原学检查，合理使用抗生素。

Retrospective analysis of 73 acute hemorrhagic stroke cases with pulmonary infection

Objective To analyze the clinical characteristics of pulmonary infection with acute hemorrhagic stroke. In order to reveal how to diagnose Stroke Associated Pneumonia correctly, plan examinations and use antibiotics correctly. Methods The clinical datas of 73 acute hemorrhagic stroke cases with pulmonary infection（died within 30 days）were retrospective analysed. Results In the 73 cases,41 patients were men,32 patients were womem. Patiets with Hypertention were 38, with Diabetes Mellitus were 10, with CKD were 5, with COPD were 5. Patients with fever were 67,abnormal lung signs were 30;WBC accounts 〉10 ×10^9 L were 46, neutropil accounts 〉70 % were 65;48 patients were given lung X-ray tests,37 were abnormal; 23 patients had sputum cultures or smears, positive cases of sputum cultures were 13; 6 patients were given Sulperazon, 1 patients were given Imipenen, 27 were given Quinolones,the rest were given Cephalosporins. Conclusion Pulmonary infection is common complication of acute hemorrhagic stroke cases. We should think highly of the imaging test and etiologic examination at the time of diagnosis, and use antibiotics correctly.