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目的:对脑出血患者并发肺部感染的临床特征及相关因素进行分析,为降低肺部感染发生率提供借鉴依据。方法:回顾性分析2010年1月至2012年1月间收治并经CT检查证实为脑出血患者102例,观察患者住院期间肺部感染发生情况,并收取痰标本组患者痰液标本进行细菌培养,观察意识障碍程度、年龄、吸烟、出血部位、出血量、侵袭性操作等因素对患者并发肺部感染的关系。结果:本组患者肺部感染发生率为24例(23.5%),单因素分析结果显示,年龄、吸烟、意识障碍程度、出血量,合并糖尿病、慢性呼吸系统疾病及呕吐、误吸是与导致脑出血患者并发肺部感染的危险因素;痰液标本培养结果中革兰阴性杆菌检出率为70.8%,阳性球菌为25.0%,真菌感染占4.2%。结论:脑出血并发肺部感染患者以革兰阴性杆菌感染为主,其中年龄、吸烟、意识障碍程度、出血量,合并糖尿病、慢性呼吸系统疾病及呕吐、误吸是导致脑出血并发肺部感染的危险因素。
Objective: To analyze the clinical characteristics and related factors of pulmonary infection in patients with intracerebral hemorrhage, and provide references for reducing the incidence of pulmonary infection. Methods: A retrospective analysis was performed between January 2010 and January 2012 in 102 patients with cerebral hemorrhage confirmed by CT examination. The incidence of pulmonary infection during hospitalization was observed. Sputum samples from sputum samples were collected for bacterial culture Observe the degree of consciousness disorders, age, smoking, bleeding sites, bleeding, invasive operation and other factors on the patient with pulmonary infection. Results: The incidence of pulmonary infection in this group was 24 (23.5%). The results of univariate analysis showed that age, smoking, degree of disturbance of consciousness, amount of bleeding, diabetes mellitus, chronic respiratory disease, vomiting, Cerebral hemorrhage patients with pulmonary infection risk factors; sputum specimen culture results in Gram-negative bacilli detection rate of 70.8%, 25.0% of positive cocci, fungal infections accounted for 4.2%. Conclusions: Gram-negative bacilli are the main pathogens in patients with ICH complicated with pulmonary infection. Among them, age, smoking, degree of disturbance of consciousness, amount of bleeding, diabetes mellitus, chronic respiratory diseases, vomiting and aspiration are the main causes of cerebral hemorrhage complicated by pulmonary infection Risk factors.