| 陈琨1 熊建琼1△ 张瑜2 向海燕1 熊敏1.急性脑梗死患者并发医院肺部感染的影响因素分析[J].现代生物医学进展英文版,2014,14(15):2897-2900. |
| 急性脑梗死患者并发医院肺部感染的影响因素分析 |
| The Risk Factors of Nosocomial Pulmonary Infection in Patients with AcuteCerebral Infarction |
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| DOI： |
| 中文关键词: 急性脑梗死 肺部感染 危险因素 |
| 英文关键词: Acute cerebral infarction Pulmonary infection Risk factors |
| 基金项目: |
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| 中文摘要: |
| 摘要目的：探讨急性脑梗死患者并发医院肺部感染的相关影响因素，为临床的预防与治疗提供指导依据。方法：回顾性分析我院
神经科2011 年1 月~2013 年8 月收治入院的526 例急性脑梗死患者的临床资料。结果：在全部526 例急性脑梗死患者中，并发
医院肺部感染的有79 人，占15.0%。分析显示，高龄、吸烟史、糖尿病、意识障碍、吞咽困难、低蛋白血症等原因是并发肺部感染的
危险因素。而从这些感染者的痰液中共分离出病原菌98 株，包括铜绿假单胞菌、鲍曼不动杆菌、肺炎克雷伯菌、金黄色葡萄球菌、
表皮葡萄球菌、大肠埃希菌、白假丝酵母菌等。结论：急性脑梗死患者易并发医院肺部感染，其危险因素主要有高龄、吸烟史、糖尿
病、意识障碍、吞咽困难、低蛋白血症等。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate the factors associated with hospital in patients with acute cerebral infarction associated with
infection of lung, provide guidance for prevention and treatment of clinical.Methods: A retrospective analysis of the clinical data of 526
cases of acute cerebral infarction patients in our hospital in 2011 January-2013 year in August the Department of neurology was admitted
to hospital. Results:In all 526 cases of patients with acute cerebral infarction complicated with pulmonary infection in hospital, there are
79 people, accounting for 15%. Analysis showed that age, smoking, diabetes, history, disturbance of consciousness, difficulty swallowing,
hypoproteinemia and other reasons were the risk factors of pulmonary infection. From these infected sputum isolated 98 strains of
pathogenic bacteria, including Pseudomonas aeruginosa, Acinetobacter, Bauman, Klebsiella pneumoniae, Staphylococcus aureus,
Staphylococcus epidermidis, Escherichia coli, Candida albicans etc. Conclusion:Acute cerebral infarction patients complicated with pulmonary
infection in hospital, the main risk factors are age, smoking history, diabetes, disturbance of consciousness, difficulty swallowing,
and hypoproteinemia. |
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