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目的探讨急性脑卒中并发肺部感染的临床特点。方法观察急性脑卒中129例并发肺部感染者36例的感染时间、卒中类型、基础病存在等情况。结果脑出血患者的肺部感染发生率明显高于脑梗死组(p<0.01);肺部感染的发生时间以入院后1周内居多;脑卒中意识障碍肺部感染率明显升高(p<0.005);高龄、糖尿病、慢性支气管炎、卒中病史患者与并发肺部感染均有明显关系(p<0.05～p<0.005)。病死率明显高于非肺部感染组(p<0.005)。结论急性脑卒中患者肺部感染是由于多种因素相互作用的结果,应积极采取综合治疗措施,改善患者预后。
Objective To investigate the clinical features of acute stroke complicated by pulmonary infection. Methods Acute stroke in 129 cases of pulmonary infection were observed in 36 cases of infection time, stroke type, the existence of basic diseases and so on. Results The incidence of pulmonary infection in patients with cerebral hemorrhage was significantly higher than that in cerebral infarction group (p <0.01). The incidence of pulmonary infection was mostly within 1 week after admission. The incidence of pulmonary infection in stroke patients was significantly higher (p < 0.005). Patients with advanced age, diabetes mellitus, chronic bronchitis and stroke history had significant relationship with pulmonary infection (p <0.05 ~ p <0.005). The case fatality rate was significantly higher than the non-pulmonary infection group (p <0.005). Conclusion Pulmonary infection in patients with acute stroke is the result of the interaction of many factors and should take active measures to improve the prognosis of patients.