摘要
Abstract
Objective To observe and analyze the clinical characteristics of patients with hypertensive intracerebral hemor-rhage (ICH) complicated with postoperative pulmonary infection and its influencing factors .Methods 183 cases of patients with hypertensive ICH were selected as the research objects.The sputum specimens of the patients were collected and bacterial culture was employed to observe the pulmonary infection rate.The general clinical data of the patients were collected and the Glasgow coma score (GCS score) was used to observe and evaluate the postoperative coma of the patients.The risk factors of the patients complicated with pulmonary infection were analyzed.Results The rate of the patients complicated with pulmonary infection was 36.6% and the mortality rate of infected patients was 29.9% . The single factor analysis showed that age >60 years old ,bleeding volume >100 mL ,GCS score≤8 ,long-term smoking ,complicated with chronic respiratory diseases ,compli-cated with diabetes mellitus ,preoperative vomiting and aspiration were the risk factors associated with postoperative pulmonary infection of patients with hypertensive ICH ;the gram negative rod detected in sputum specimens accounted for 72.2% and the resistance rates to meropenem ,Cefoperazone /Shubatan were low ;the gram positive cocci accounted for 24.5% and the resist-ance rates to vancomycin ,linezolid were low ;the fungi detected accounted for 3.2% and the resistance rate to itraconazole was lower. Conclusion The incidence and mortality of the patients with hypertensive ICH complicated with postoperative pulmona-ry infection are higher and most of the pathogens in the infection were gram negative bacilli.Age >60 years old ,bleeding vol-ume >100mL ,GCS score≤8 ,long-term smoking ,complications of chronic respiratory diseases ,complications with diabetes mel-litus ,preoperative vomiting and aspiration are the risk factors associated with the incidence.关键词
肺部感染/脑出血/术后/相关因素分析Key words
Pulmonary infection/Intracerebral hemorrhage/Surgery/Related factors analysis分类
医药卫生
