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重症脑血管病患者合并肺部感染的危险因素与防治对策 被引量:3

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摘要 目的:分析脑血管病患者院内肺部感染的危险因素,探讨相应的防治措施。方法对2008年10月-2012年4月我科收治住院的226例重症脑血管病患者进行回顾性调查,男83例,女43例;年龄40-83岁,脑梗塞94例,并发肺部感染65例,肺部感染组脑出血132例。并对院内肺部感染危险因素进行分析,对其中的217例脑卒中患者进行基础疾病、卧床时间、脑梗死与脑出血、有无意识障碍、年龄大小进行分组对比。结果:226例重症患者肺部感染率28.7%。结论:中风类型、长期卧床、高龄、气道侵入性操作以及原有基础疾病等因素是发生院内肺部感染的主要原因。加强环境治理、气道护理、严格无菌操作,注重增加营养,合理使用抗生素,同时治疗基础疾病等是防治院内肺部感染的有效措施。 Objective: To study the cerebral vascular disease patients with nosocomial pulmonary infection risk factors, preventive measures. Methods from 2008 October to 2012 April in our department in 226 hospitalized patients with severe cerebral vascular disease patients were investigated retrospectively, and the nosocomial pulmonary infection risk factors were analyzed, on which the 217 stroke patients with basic disease, time of lying in bed, cerebral infarction and cere- bral hemorrhage, with or without consciousness disorder, age group in contrast to. Results: 226 cases of patients with severe pulmonary infection rate 28.7~//00. Conclusion: the type of stroke, prolonged ambulatory, elderly, airway invasive operation as well as the original basic factors such as disease is the occurrence of nosocomial pulmonary infection is a major cause of. Strengthening environmental governance, airway nursing, strictly aseptic operation, pay attention to increase nutrition, reasonable use of antibiotics, and treatment of the underlying diseases is prevention of nosocomial pulmonary infection by effective measures.
作者 王明盛
出处 《成都医学院学报》 CAS 2012年第B09期92-92,共1页 Journal of Chengdu Medical College
关键词 脑出血 脑梗塞 肺部感染 intraeerebral hemorrhage Cerebral infarction Lung infection
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