摘要
目的分析脑卒中后合并吸入性肺炎的临床特点和治疗对策。方法对2004年1月至2006年12月收住我院的脑卒中合并吸入性肺炎患者的临床表现及治疗进行回顾性分析。结果全部84例病人均为脑卒中合并吸入性肺炎,临床表现主要为咳嗽、咯痰和发热。胸部X线检查表现为吸入部位的浸润影。反复多次发作43例。治疗后60例存活,24例死亡。结论反复多次发作的吸入性肺炎预后差,必须重视早期预防、及时诊断和合理使用抗生素。阻断吸入是防治的关键。
To analyze clinical manifestations and management of cerebral stroke complicated with inhalation pneumonia. Methods A retrospective study was performed on 84 patients with inhalation pneumonia from January 2004 to December 2006, Resuits All patients had cerebral stroke with inhalation pneumonia. Clinical manifestations included cough （80/84）, expectoration conclusion （62/84） and fever （40/84）. The chest X-ray revealed infiltrations of the lungs, 43 cases had been attacked repeatedly, After treatment, 60 of them survived and 24 died. Conclusion The prognosis of cerebral stroke with inhalation pneumonia is poor. Effective and infection-control procedures are the key in the treatment, including surveillance systems and appropriate use of antibiotics. The cut-off inhalation is the key in the prevention.
出处
《临床肺科杂志》
2007年第10期1044-1045,共2页
Journal of Clinical Pulmonary Medicine
关键词
吸人性肺炎
脑卒中
inhalation pneumonia
cerebral stroke
