高血压并脑出血患者医院肺部感染相关因素分析

Lung Infection in Patients with Cerebral Hemorrhage and Hypertension

目的探讨高血压并脑出血患者医院肺部感染发生的相关因素。方法对2005年1月-2006年12月289例高血压并脑出血患者的临床资料进行回顾性调查和分析。结果高血压并脑出血患者发生医院肺部感染率为31．5％，肺部感染主要因素与年龄、血糖、慢性肺病、意识障碍程度、出血部位、出血量、出血破入脑室、侵袭性操作、神经源性肺水肿等有关；感染主要病原菌以革兰阴性菌为主。结论高血压并脑出血患者肺部感染是多种因素相互作用的结果，严格掌握使用抗菌药物的原则和注意无菌操作可降低感染率。

Objective To study the characteristic of the lung infection in patients with the cerebral hemorrhage and hypertension. Methods The discharged patients with the cerebral hemorrhage and hypertension from Jan 2005 to Dec 2006 underwent retrospective investigation and analysis for the clinical data. Results The incidence of the lung infection in patients with the cerebral hemorrhage and hypertension was 31.5%. Major infection factors correlated with age,blood sugar,chronic lung diseases,the level of disturbance of consciousness,location of cerebral hemorrhage, amounts of cerebral hemorrhage, ventricular hemorrhage, invasive operation, neutrogena pulmonary edema, etc. The Gramnegative bacteria were predominant among the pathogens. Conclusion The infections are interrelated with many factors. Abiding by the principle of using antibiotic and the strict aseptic manipulation may reduce the occurrence of the infection, but treating the primary affection and the comprehensive therapy are important measures for reducing infection.