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目的:探讨急性脑卒中患者并发肺部感染的发病率及病原体特点。方法:对并发肺部感染的急性脑卒中患者进行临床分析和病原学分析。结果:急性脑卒中患者肺部感染总发生率为14.4%。标本培养检出病原体革兰阴性菌98株(41.9%),革兰阳性菌89株(38%),真菌47株(20.1%)。药物敏感性实验示不动杆菌、假单胞菌和葡萄球菌均耐药率较高。结论:出血性脑卒中患者肺部感染发生率高于缺血性脑卒中患者,脑卒中患者并发肺部感染以革兰阴性菌为主。革兰阴性菌对亚胺培南/西司他丁敏感度高。革兰阳性菌对万古霉素较敏感。
Objective: To investigate the incidence and pathogens of pulmonary infection in patients with acute stroke. Methods: Clinical analysis and etiological analysis of acute stroke patients with pulmonary infection. Results: The overall incidence of pulmonary infection in patients with acute stroke was 14.4%. Ninety-nine pathogens (41.9%) were gram-negative bacteria, 89 (38%) were gram-positive bacteria and 47 (20.1%) were fungi. Drug sensitivity experiments showed that Acinetobacter, Pseudomonas and Staphylococcus were higher drug resistance rates. Conclusion: The incidence of pulmonary infection in patients with hemorrhagic stroke is higher than that in patients with ischemic stroke. Gram-negative bacteria are the main pathogens in patients with stroke. Gram-negative bacteria sensitive to imipenem / cilastatin. Gram-positive bacteria are more susceptible to vancomycin.