实用临床医药杂志2012，Vol.16Issue(17)：153-155,3.
急性脑梗死合并肺部感染的危险因素分析及防治
Risk factor analysis and prevention of acute cerebral infarction complicated with pulmonary infection
摘要
Abstract
Objective To study the associated risk factors and prevention of acute cerebral infarction complicated with pulmonary infection, so as to provide the references for treatment. Methods Ninety patients with acute cerebral infarction complicated with pulmonary infection from 2010 May to 2012 April in our hospital were divided into pulmonary infection group (n =28) and control group (n =62). The associated risk factors and prevention were analyzed. Results Compared with the control group, the dysphagia, disturbance of consciousness, large area cerebral infarction, and pulmonary disease increased significantly in pulmonary infection group. The NIHSS score, neural function defect score of pulmonary infection group were significantly higher than that in the control group. The scrum pH, PaC>2, PaCO2, whole blood viscosity in the two groups had significant difference, and the serum TNF-a and IL 6 of pulmonary infection group were markedly higher than that in the control group. Conclusion The history of COPD, high NIHSS score, dysphagia, disturbance of consciousness, large area cerebral infarction as well as the basic disease are the risk factors of acute cerebral infarction complicated with pulmonary infection. The patients should be given positive effective treatment to maintain respiratory tract unobstructed, improve lung function timely, correct the brain hypoxia, decrease infarction area, assist the patient to change postures selected antibiotics reasonably, and strengthen nutritional support.关键词
急性脑梗死/肺部感染/危险因素Key words
acute cerebral infarction/ pulmonary infection/ risk factors分类
医药卫生引用本文复制引用
茆华武..急性脑梗死合并肺部感染的危险因素分析及防治[J].实用临床医药杂志,2012,16(17):153-155,3.基金项目
中国高校医学期刊临床专项资金(11220118) （11220118）
