高血压脑出血术后并发肺感染的原因分析

Analysis of risk factors for hypertensive cerebral hemorrhage complicated with lung infection

目的对引起高血压脑出血术后并发肺部感染的相关因素进行分析探讨,以期为临床干预提供参考。方法对在我院诊治的243例急性脑出血患者进行问卷调查研究,同时对其中的59例并发肺部感染患者进行病原菌检测。结果 1)243例患者中有59例并发肺部感染,感染率为24.3%。病原菌检测中有56例获得阳性结果,其中革兰氏阴性菌为主要的病原菌,占到62.5%,革兰氏阳性菌占30.4%;真菌感染率为7.1%;2)患者的年龄、有无吸烟史、原发性肺部疾病、脑出血严重程度、以及治疗中是否有侵入性操作与其术后肺部感染的发生率有密切的关系(P<0.05)。结论高血压脑出血患者术后并发肺部感染是由多种因素参与的,高度重视这些危险因素并积极采取有效的预防和干预措施是减少肺部感染的有效方法之一。

Objective To explore the risk factors that caused hypertensive cerebral hemorrhage complicated with lung infection and to provide a reference for clinical intervention. Methods 243 cases of acute cerebral hemorrhage patients in our hospital were taken for questionnaire investigation.59 cases of pulmonary infection in patients were taken for pathogens detection. Results 1） In the 243 patients,59 cases were of pulmonary infection,the infection rate was 24.3%.In the pathogen detection,the positive result was in 56 cases,of which Gram-negative bacteria was with a major pathogen,accounting for 62.5%,Gram-positive bacteria accounted for 30.4%;fungal infection rate was 7.1%;2） The patient＇s age,smoking history,primary lung disease,cerebral hemorrhage severity,and whether with the incidence of invasive procedures in the treatment were closely related with their postoperative pulmonary infection（P0.05）. Conclusions Hypertensive cerebral hemorrhage complicated with lung infection is caused by a variety of factors.To take a high degree of attention to these risk factors and take effective prevention and intervention measures is one of the effective methods to reduce lung infection.