论文部分内容阅读
目的探讨脑卒中并发吸入性肺炎的发病机制、临床特点,诊断及其防治措施。方法对我院2004年1月1日-2009年3月31日脑卒中并发吸入性肺炎患者进行回顾性分析。结果全部26例患者均为脑卒中并发吸入性肺炎,临床表现主要为咳嗽,咯痰和发热。胸部X光检查表现为吸入部位的浸润影。治疗后20例存活,6例死亡。结论吸入性肺炎是导致脑卒中患者死亡和影响其功能恢复的最重要原因,必须重视早期预防,及时诊断和合理使用抗生素。阻断吸入是防治的关键。
Objective To investigate the pathogenesis, clinical features, diagnosis and prevention of stroke complicated with aspiration pneumonia. Methods A retrospective analysis was performed on patients with stroke complicated with aspiration pneumonia in our hospital from January 1, 2004 to March 31, 2009. Results All 26 patients were complicated by stroke with aspiration pneumonia. The main clinical manifestations were cough, expectoration and fever. Chest X-ray showed infiltration of the infiltration shadow. Twenty patients survived and 6 died after treatment. Conclusions Aspiration pneumonia is the most important reason leading to the death of stroke patients and affecting their functional recovery. Early prevention, timely diagnosis and rational use of antibiotics must be emphasized. Blocking inhalation is the key to prevention and treatment.