急性脑出血患者合并肺部感染的相关危险因素分析

Analysis of risk factors for associated lung infections in patients with cerebral hemorrhage

目的探讨急性脑出血患者合并肺部感染相关危险因素及病原菌分布。方法回顾性分析23例急性脑出血合并肺部感染的影响因素及病原菌分布。结果年龄、吞咽障碍、慢性疾病史是急性脑出血保守治疗合并肺部感染的影响因素(P<0.05)。23例患者检出病原菌29株,其中的前三位是肺炎克雷伯菌(9株,占31.0%)、鲍曼不动杆菌(8株,占27.6%)和金黄色葡萄球菌(7株,占24.1%)。结论对于急性脑出血行保守治疗的患者,应针对容易引发肺部感染的危险因素以及常见的病原菌进行有效的预防措施。

Objective To analyze the risk factors for associated lung infections and detect the distribution of pathogens in the patients with cerebral hemorrhage under conservative therapy. Methods Data of 23 patients with cerebral hemorrhage complicated with lung infections were retrospectively analyzed. The pathogens of lung infections were examined. Results The age, dysphagia and history of chronic disease were the main factors associated with lung infections in the patients with cerebral hemorrhage（P〈0. 05）. There were 29 pathogens isolated from 23 cases, of which the first three were Kebsillla pneumoniae, Acinetobacter baumannil, and Staphylococcus aureus. Conclusion The measures aiming at the main factors associated with lung infections and common pathogens should be taken in order to reduce the hospital infection rate in the patients with cerebral hemorrhage undergoing conservative therapy.