急性脑出血患者应用临床肺部感染评分标准的临床体会

Clinical Experience of Applying Clinical Pulmonary Infection Score in Patients with Acute Cerebral Hemorrhage

目的整理分析急性脑出血患者的临床资料,探讨临床肺部感染评分标准在治疗急性脑出血合并肺感染患者中的应用价值。方法收集2013年12月至2016年12月我院108例急性脑出血患者临床资料,回顾性分析患者并发肺感染的发生率,并应用临床肺部感染评分进行评估。结果 108例急性脑出血患者,并发肺感染42例,其中死亡13例,存活患者随着治疗时间的延长,临床肺部感染评分逐渐降低,而死亡患者随着治疗时间的延长,临床肺部感染评分逐渐增加。结论临床肺部感染评分在急性脑出血患者中有较高的应用价值,早期应用临床肺部感染评分可判断急性脑出血患者合并肺感染的病情发展,及时调整治疗方案,以提高后期的治疗效果。

Objective To analyze the clinical data of patients with acute cerebral hemorrhage and to explore the clinical value of applying clinical pulmonary infection score in the treatment of patients with acute cerebral hemorrhage complicated with pulmonary infection.Methods The clinical data of 108 patients with acute cerebral hemorrhage in our hospital were collected from December 2013 to December 2016.The incidence of patients complicated with pulmonary infection were retrospectively analyzed and clinical pulmonary infection score was applied to evaluate these patients.Results There were totally 108 patients with acute cerebral hemorrhage.42 patients complicated with pulmonary infection.13 patients died.With prolonged treatment time,clinical pulmonary infection score decreased gradually in survival patients.While on the contrary,clinical pulmonary infection score gradually increased in died patients.Conclusion There was higher application value in patients with acute cerebral hemorrhage applying clinical pulmonary infection score.The disease progression of patients with acute cerebral hemorrhage complicated with pulmonary infection could be determined with early application of clinical pulmonary infection score.Which would be helpful for timely adjustment of therapeutic regimen and improvement of later treatment effects.