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高血压脑出血术后肺部感染相关因素分析

桑林 郑重 周峰 解飞 葛留锁 马延山

医学信息2017,Vol.30Issue(3):52-54,3.
医学信息2017,Vol.30Issue(3):52-54,3.

高血压脑出血术后肺部感染相关因素分析

Analysis of Relevant Factors of Pulmonary Infection Related to Postoperative Hypertensive Cerebral Hemorrhage

桑林 1郑重 1周峰 1解飞 1葛留锁 1马延山1

作者信息

  • 1. 北京丰台医院神经外科,北京 100000
  • 折叠

摘要

Abstract

ObjectiveTo investigate relevant factors of pulmonary infection related to postoperative hypertensive intracerebral hemorrhage, as well as effective prevention and treatment measures.MethodsThe clinical data of 315 cases with hypertensive cerebral hemorrhage after surgical treatment in our department from July 2009 to December 2014 were analyzed retrospectively.ResultsPulmonary infection occurred in 114 of 315 patients. Compared to 20~40 year-old patients, patients aged over 60-year-old had major risk of infection (P=0.009, statistical significance); Patients whose bleeding site located in the cerebellum, brain stem had major risk of infection compared with located in basal ganglia (P=0.000, statistical significance); Patients with amount of bleeding greater than 50ml were compared with less than 50ml (P=0.000, statistical significance), and the former had more risk of pulmonary infection; Patients of GCS score less than 8 had more risk of pulmonary infection in comparison with more than 8 (P= 0.000, statistical significance); Compared patients treated by tracheotomy with patients not treated (P=0.000, statistical significance), the former had more risk of pulmonary infection.ConclusionThe emergence of pulmonary infection of postoperative hypertensive cerebral hemorrhage related with a variety of factors, such as the age of patients, bleeding sites, the amount of bleeding, conscious disturbance score, whether or not invasive operation, and so on. In order to control pulmonary infection and improve prognosis of patients with hypertensive cerebral hemorrhage, we should timely and completely prevent and treat pulmonary infection of postoperative hypertensive cerebral hemorrhage.

关键词

高血压脑出血/术后/肺部感染

Key words

Hypertension cerebral hemorrhage/Postoperative/Pulmonary infection

引用本文复制引用

桑林,郑重,周峰,解飞,葛留锁,马延山..高血压脑出血术后肺部感染相关因素分析[J].医学信息,2017,30(3):52-54,3.

医学信息

1006-1959

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