急性卒中患者医院获得性呼吸道感染的致病病原谱及其对预后影响的研究进展

Progress in the Research of Hospital Patients with Acute Stroke Received the Original Disease of Respiratory Tract Infection and its Pathogenic Effects on Prognosis

脑卒中患者起病快,病情严重,通常需要长期住院诊治,在这个阶段中,医院获得性呼吸道感染发病率高,易合并多重病原菌感染,是卒中患者病情加重和死亡的主要原因。脑卒中患者中枢神经系统受损,直接或间接地影响丘脑下部植物神经功能紊乱,导致肺动脉高压、肺毛细血管损伤,引起肺水肿、呼吸衰竭,是脑卒中患者肺部感染的主要原因。也是患者死亡的主要原因,肺部感染严重程度直接影响脑卒中患者的预后。近些年来,国内外的医学专家和学者对其流行病学、发病机制、病原学特点等方面进行了具体研究和探讨,现在把研究结果进行综述。

Disease in patients with cerebral apoplexy develops quickly,the disease is severe,usually requires long-term hospitalization,Hospital acquired respiratory tract infection rate is high,easy to merge multiple pathogen infection,the main causes of stroke in patients with disease progression and death. Stroke patients with central nervous system damage,directly or indirectly affect the hypothalamus vegetative nerve functional disturbance,resulting in pulmonary arterial pressure,pulmonary capillary damage and cause pulmonary edema and respiratory failure,is the main reason for the stroke patients with pulmonary infection. The main cause of death in patients,the degree of pulmonary infection directly affect the prognosis of stroke patients. In recent years,domestic and foreign medical experts and scholars on the epidemiology,pathogenesis,pathogen characteristics such as the specific research and discussion,and now the research results were reviewed in this article.