急性脑血管病与肺部感染关系的探讨

The relationship between senile acute cerebrovascular diseases and pulmonary infections

目的 了解１６６ 例急性脑血管病合并肺部感染的发生率及预后，并探讨其病理机制。方法 把２ 年内急性脑血管病病人按年龄及肺部感染情况分成三组，即老年性感染组，非感染组及非老年性组，分析对比他们之间关系。结果 急性脑血管病合并肺部感染发生率为５６ ％ ，死亡率高（χ２ ＝ １７ ．２ ， Ｐ＜ ０．０１），以院内感染为主（８７％ ），其菌株以铜绿假单胞菌为主。结论 老年急性脑血管病容易合并肺部感染，其菌株毒性大，耐药性强，需选用恰当抗生素。配合综合措施，降低发生率。

Objectives To understand the incidence and prognoses of 166 cases of senile acute cerebrovascular diseases complicated by pulmonary infections and to explore the pathologic mechanism.Methods The patients treated in the past one Year were divided into three groups according to their ages and the conditions of pulmonary infection,namely,the intected group of old age,the uninfected group and the infected group of non-old age.Then comparisons and prognosis of these groups were made.Results The incidence of senile acute cerebrovascular diseases complicated by pulmonauy infections was 56% and the mortality was high (χ 2=17.2,P<0.01).Hospital infections were the main cause(accounting for 87%)and the majorbacterial strain was verdigris pseudomonas.Conclusions senile acute cerebrovascular diseases tend to be complicated by pulmonary infectins with intense bacterial toxicity and great drug resistance.To reduc incidence,appropriate antibiotics should be chosen,complemented by comprehensive measures.