急性脑血管病并发感染临床分析

CLINICAL ANALYSIS OF ACUTE CEREBROVASCULAR DISEASE COMPANIED WITH INFECTION

目的 :探讨感染与急性脑血管病的关系。方法 :收集 1995年 1月至 1999年 12月住院的 5 96例急性脑血管病病人的临床资料 ,对起病前后感染进行回顾性调查分析。结果 :①病前近期感染 2 6例 ,中青年 2 1例 (81.7% )。脑梗塞 19例 (73.1% )。病后医院感染 115例 ,平均年龄 5 2 .3± 16 .8岁 ,脑出血 6 1例 (5 3.0 % )。②感染以呼吸道为主 (6 7.8% ) ,泌尿道次之 (15 .7% )。③感染与病变部位无明显关系。与年龄、出血量、梗塞面积、病情轻重、抗菌素不合理使用有关。结论 :感染是中青年脑梗塞的重要危险因素。感染是造成急性脑血管病病情加重及死亡的主要原因。

Objective: To discuss the connection between infection and acute cerebrovascular diseases. Methods: Clinical information of 596 acute cerebrovascular patients who had been in hospital from 1995 to 1999 was gathered and the infection before and after the onset of illness was then retrospectively investigated and analyzed. Results: ①There were 26 infections rright before hospitalization. The young and the middle-aged accounted for 21 cases(81.7%). Cerebral infarction was 19 cases(73.1%). Infections during hospitalization were 115 cases with an average age of 52.3±16.8 years cases with cerebral hemorrhage were 61 (53.0%). ②Among infections, respiratory track was the primary(67.8%), and urinary tract was the secondary(15.7%). ③Infection is foreign to diseased location., but related to age, quantity of hemorrhage, area of infarct, state of illness and irrational use of bacteriophage. Conclusion: Infection is an important risk factor of cerebral infarct of the young and the middle-aged. Infection is also the main cause leading to acute cerebrovascular aggravation and death.CLINICALANALYSI