脑出血患者并发院内肺部感染诊治分析

摘要

Objective To study and analyze the clinical characteristics of nosocomial pulmonary infection in patients with cerebral hemorrhage for clinical diagnosis,and summarize the experience of treatment. Methods 62 cases of cerebral hemorrhage complicated with nosocomial pulmonary infection in our hospital were selected, and the clinical data of all patients were statistically analyzed. Results The sputum bacterial culture of 62 cases of cerebral hemorrhage complicated with nosocomial pulmonary infection were done, and the G- bacillus was found as the main pathogen. Conclusion The risk factors of nosocomial pulmonary infection are age,long-term coma,etc.The patients select the sensitive drugs for antibiotic therapy according to the guiding principles of bacteriology;It has important significance for patients who are given the broad-spectrum antibiotics and foundation treatment before the fully understanding of pathogen.%目的：研究分析脑出血患者并发院内肺部感染的临床特征，利于临床诊断，并总结治疗体会。方法选取我院收治的62例脑出血并发院内肺部感染患者，对所有患者的临床资料进行统计分析。结果对62例脑出血并发肺部感染患者进行痰液细菌培养，发现G-杆菌为主要致病菌。结论院内肺部感染高发因素包括年龄大、长期昏迷等，给予患者抗生素治疗需根据细菌学指导原则，选择敏感药物；在未了解致病菌前需给予患者广谱抗生素及基础治疗，对患者来说有重要的意义。