刘海波

[摘要] 目的 研究分析脑出血合并肺部感染的诱因及观察其临床治疗的效果。 方法 选取近两年在我院治疗脑出血合并肺部感染的96例患者，对其临床资料进行回顾性研究分析，并根据分析的结果将患者随机分成实验组和对照组，平均每组48例患者，对照组患者采用保守治疗，实验组患者在对照组的基础上根据诱因给予相应的治疗，合理运用抗生素及气管切开，首选头孢三代进行治疗。 结果 治疗后实验组的死亡率（6.25%）明显低于对照组（31.25%），差异具有统计学意义（P＜0.05）。 结论 对脑出血患者肺部感染应给予积极的预防，一旦发生肺部感染，要对其危险因素进行有效的控制，针对危险因素给予治疗，进而减少脑出血合并肺部感染而导致死亡的人数。

[关键词] 脑出血；肺部感染；临床观察

[中图分类号] R743.34   [文献标识码] B   [文章编号] 2095-0616（2014）08-177-03

Clinical observation for 96 patients with cerebral hemorrhage and pulmonary infection

LIU Haibo

Neurosurgery of Luanping County Central Hospital in Chengde City of Hebei Province, Luanping 068250,China

[Abstract] Objective To study and analyze causes of cerebral hemorrhage and pulmonary infection as well as observe effects of its treatment. Methods 96 patients with cerebral hemorrhage and pulmonary infection of our hospital in the latest two years were selected,and retrospectively analyzed their clinical datas,then divided them into experimental group and control group according to their analysis results,48 cases in each group.The control group was given conservative treatment,experimental group was given proper treatment according to causes based on control group. Results Mortality rate of experimental group(6.25%) after treatment was significantly lower than control group(31.25%),difference between two groups was statistically significant(P＜0.05). Conclusion Possitive prevention should be applied in pulmonary infection of cerebral hemorrhage, and effective controlling should be adopted once there is pulmonary infection,so as to reduce dead people caused by cerebral hemorrhage and pulmonary infection.

[Key words] Cerebral hemorrhage;Pulmonary infection;Clinical observation

脑出血的患者有患病急、病情较为严重、病情发展迅速、死亡率高等特点，肺部感染是脑出血患者在患病期间较严重且较常见的并发症，若脑出血患者合并较严重的肺部感染可以导致患者的死亡[1-2]。有研究表明，脑出血合并肺部感染的患者与患者的基础状态及相关因素有关[3]。本研究根据患者的临床资料进行研究分析，根据分析的结果进行相应的治疗，观察其临床效果，现将结果报道如下。

1 资料与方法

1.1 一般资料

选取2012年10月～2013年10月在本院治疗的96例脑出血合并肺部感染患者，将患者随机分成实验组和对照组，平均每组48例患者。……