脑出血合并感染87例临床分析

Clinical analysis of 87 cerebral hemorrhage patiants complicated with other infections.

目的 分析脑出血患者合并感染的情况。 方法 对我院1995年～2001年间收住的87例脑出血患者发生感染的情况进行分析。 结果 87例脑出血患者发生合并感染76例(87.4％),其中大脑半球出血78例并发感染69例(88.5％)小脑出血5例,并发感染3例(60％),4例桥脑出血全部并发感染(100％)。75例意识障碍者并发感染率100％(75例),12例清醒者并发感染1例(8.3％),发生感染者病死率60.5％(46/76),未发生感染者病死率为零,有显著性意义(P<0.01)。 结论 脑出血感染发生率高,是病情危重指标之一,是致死主要原因之一,有效地控制感染是提高存活率的重要手段。

Objective To analyse the status of 87 cerbral hemorrhage patients complicated with other infections. Methods The results of complicate infections of 87 cerebral hemorrhage patients treated in this hospital were analysed. Results It was observed that out of the 87 cerebral hemorrhage patients complicated infections occurred in 76 cases (87.4% ) being 69 cases in the in-tracebreral hemorrhage (69/78 88.5%),3 cases in the cerebeller hemorrhage(3/5 60%) and 4 cases in the pons hemorrhage (4/4 100%) .All of 75 cases (100%) in conscious disorders and one of 12 cases (1/12 8.3%) in conscious state complicated infections and the differences were significant (P< 0.01). The main sites of infections were in the lung, followed by urinary tract and upper res-pirating tract.The fatality rate in those with complicated infections were found to be higher (46/7660.5%) than those without complicated infections and the differences were significant(P <0.01) .Conclusion It has been noticed the high incidenes of complicated infections occurred to patients with cerebral hemorrhage to have been a one of factors leading to death, thus to effectirely control complicated infection is an important measure for enhancing survival rate.