老年脑血管病吸入性肺炎96例临床分析

Senile cerebrovascular disease aspiration pneumonia in 96 cases

目的观察老年脑血管病吸入性肺炎的临床特点、预防措施及治疗方法。方法对大同市第三人民医院收治的96例老年脑血管病吸入性肺炎患者采用营养支持、对症及抗感染治疗，并给予患者置鼻胃管加抗反流治疗，观察其临床特征及治疗效果。结果老年脑血管病吸入性肺炎患者临床表现多样，症状不典型；96例患者中痊愈34例，有效48例，有效率为85．42％；所有患者均未再出现吸入性肺炎及窒息。结论营养支持、对症及抗感染治疗是改善老年脑血管病吸入性肺炎的有效措施，置鼻胃管加抗反流治疗是预防再次出现吸入性肺炎及窒息的主要措施。

Objective To observe the clinical characteristics, prevention and treatment of senile cerebrovascular disease aspiration pneumonia. Methods Ninety-six patients in the third people＇ s hospi- tal of Datong with an senile cerebrovascular disease aspiration pneumonia, to accept the nutrition support and anti-infection treatment, and patients were given nasogastric tube plus anti-reflux therapy, observed the clinical characteristics and treatment effect. rebrovascular disease aspiration pneumonia, and Results Clinical manifestation were various in senile ce- with atypical symptoms, 96 patients were recovered in 34 cases, effective in 48 cases, the effective rate was 85.42%, All of the patients did not appear again aspira- tion pneumonia and suffocation. Conclusions Nutrition support, suit and anti-infection treatment is effec- tive measures to improve the senile cerebrovascular disease aspiration pneumonia. Nasogastric tube plus an- ti-reflux therapy is the main measures to prevent recurrence of aspiration pneumonia and suffocation.