摘要
1/3的脑卒中患者可发生肺炎,肺炎能显著增加脑卒中患者的致死、致残率,严重威胁着脑卒中患者的健康和生命。如果脑卒中前有肺脏疾患如慢性阻塞性肺疾病以及由脑卒中引起的呼吸机制紊乱,包括由于轻度偏瘫引起的呼吸肌无力,脑干损伤引起的呼吸损害,不适当的咳嗽及口中异物误吸等均可加重病情导致呼吸衰竭。介绍脑卒中后引起肺炎的常见病因;脑卒中后发生肺炎的相关危险因素;脑卒中后肺炎的诊断和鉴别诊断并详述脑卒中后肺炎抗生素选用原则,如何考虑气管插管和切开,胃肠道营养、防应激性溃疡方法和意义及护理和对症治疗在脑卒中后肺炎康复治疗的重要性。
One three stroke patients may occur pneumonia. Causing death and mutilation rates increase significantly in patients of pneumonia of post stroke and threaten health and life of stroke patient. If the patients had chronic obstructive pulmonary diseases and respiration mechanism disorder resulting stroke. Patient's condition were serious. To recommend common etiological factors and correlation risk factors and diagnosis, differential diagnosis of pneumonia of post stroke. To recommend antibiotic use and tracheal cannula and incision, enteral nutrition, methods of protective stress ulcer of pneumonia of post stroke. To introduce significance of nursing care and expectant treatment
出处
《中国临床康复》
CSCD
2003年第5期705-706,709,共3页
Chinese Journal of Clinical Rehabilitation
关键词
脑卒中
肺炎
诊断
治疗
康复
cerebrovascular disorders
pneumonia
diagnosis
therapy
