急性脑卒中患者并发肺部感染的发病率及病原体分析

目的：探讨急性脑卒中患者并发肺部感染的发病率及病原体特点。方法：对并发肺部感染的急性脑卒中患者进行临床分析和病原学分析。结果：急性脑卒中患者肺部感染总发生率为14．4％。标本培养检出病原体革兰阴性菌98株（41．9％），革兰阳性菌89株（38％），真菌47株（20．1％）。药物敏感性实验示不动杆菌、假单胞菌和葡萄球菌均耐药率较高。结论：出血性脑卒中患者肺部感染发生率高于缺血性脑卒中患者，脑卒中患者并发肺部感染以革兰阴性菌为主。革兰阴性菌对亚胺培南／西司他丁敏感度高。革兰阳性菌对万古霉素较敏感。

Morbidity and Pathogen Analysis of Pneumonia in Patients with Acute Stroke

Aim:To investigate morbidity and pathogen of the pneumonia in patients after acute stroke and to prevent and treat this complication more effectively.Methods:In a single hospital,2353 hospitalized patients for acute stroke from Oct 2005 to Jun 2007 were retrospectively investigated.The morbidity of the patients with identified pneumonia and the pathogen as well as organism susceptibility were analyzed.Results:Among the 2353 patients,14.4%(340 patients)had pneumonia after acute stroke.The morbidity rate of p...