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卒中相关性肺炎(stroke-associated pneumonia,SAP)[1]是指原无肺部感染的卒中患者罹患感染性肺实质炎症,是急性缺血性卒中患者最常见的合并症。该病不仅严重影响脑卒中患者预后,而且延长住院时间,增加住院费用,是脑卒中患者住院死亡率增加的主要因素之一[2-3]。SAP起病急,病情复杂多变,多为混合性感染,且耐药菌株较多,不应单纯应用抗生素控制
Stroke-associated pneumonia (SAP) [1] is the most common complication of acute ischemic stroke in stroke-associated pneumonia in stroke patients without previous lung infection. The disease not only seriously affects the prognosis of patients with stroke, but also prolong the length of stay and increase the cost of hospital admission is one of the major factors that increase in-hospital mortality in stroke patients [2-3]. SAP acute onset, complex and volatile condition, mostly mixed infections, and resistant strains more, should not be simply the application of antibiotic control