中国实用神经疾病杂志Issue(3)：43-45,3.
老年高血压脑出血术后并发肺部感染临床分析
Clinical analysis of elderly hypertensive intracerebral hemorrhage postoperative pulmonary infection
秦德广 1黄文勇 1李娟 1杨灵 1梁英强 1罗彦斌 1苏惠明 1徐焕兰1
作者信息
- 1. 广东中山市黄圃人民医院神经外科 中山 528429
- 折叠
摘要
Abstract
Objective To explore the related risk factors and countermeasure of elderly hypertensive intracerebral hemor‐rhage postoperative pulmonary infection .Methods Clinical data of 54 patients who accepted surgical treatments in 81 cases of pulmonary infection of elderly patients with hypertension cerebral hemorrhage from January 2009 to November 2013 were retro‐spectively analyzed ,in order to observe the incidence of pulmonary infection .Results Endotracheal intubation anesthesia post‐operative pulmonary infection incidence was 74 .24% ,which was significantly higher than the local anesthesia surgery group . Two groups are statistically significant (P<0 .05) .Big bone flap craniotomy postoperative pulmonary infection incidence was highest ,up to 92% ,which was significantly higher than 67% of small bone window craniotomy microscopic group ,and 36%of drainage of hematoma drilling .The difference was statistically significant (P< 0 .05) .Primary lung disease and the long‐term smoking can obviously increase the incidence of postoperative pulmonary infection ,and the postoperative infection rate of COPD or asthma and other respiratory diseases was up to 100% .Conclusion Choosing the endotracheal intubation anesthesia and big bone flap craniotomy surgery ,and patients with primary lung disease and the long‐term smoking history can obviously increase the incidence of hypertension cerebral hemorrhage postoperative pulmonary infection and fatality rate .关键词
老年人/高血压性脑出血/手术/肺部感染Key words
The elderly/Hypertensive intracerebral hemorrhage/Surgery/Lung infection分类
医药卫生引用本文复制引用
秦德广,黄文勇,李娟,杨灵,梁英强,罗彦斌,苏惠明,徐焕兰..老年高血压脑出血术后并发肺部感染临床分析[J].中国实用神经疾病杂志,2015,(3):43-45,3.
