CAJ | 학술논문

目的探讨急性脑卒中患者并发院内获得性肺炎的致病菌构成及防治措施.方法回顾性分析我院192例急性脑卒中并发院内获得性肺炎患者的临床资料.结果 192例患者呼吸道分泌物培养出13种、116株致病菌,大肠埃希菌、铜绿假单胞菌、肺炎克雷伯菌和金黄色葡萄球菌居前4位.其中革兰阴性菌对亚胺培南敏感,革兰阳性菌则对万古霉素敏感.结论急性脑卒中并发院内获得性肺炎的主要致病菌为大肠埃希菌和制绿假单胞菌.对患者加强医疗护理措施.加强医院感染的管理,提高急性脑卒中并发肺炎的预见性.积极控制肺炎有利于降低其死亡率.
목적 탐토급성뇌졸중환자병발원내획득성폐염적치병균구성급방치조시.방법 회고성분석아원192례급성뇌졸중병발원내획득성폐염환자적림상자료.결과 192례환자호흡도분비물배양출13충、116주치병균,대장애희균、동록가단포균、폐염극뢰백균화금황색포도구균거전4위.기중혁란음성균대아알배남민감,혁란양성균칙대만고매소민감.결론 급성뇌졸중병발원내획득성폐염적주요치병균위대장애희균화제록가단포균.대환자가강의료호리조시.가강의원감염적관리,제고급성뇌졸중병발폐염적예견성.적겁공제폐염유리우강저기사망솔.
Objective To investigate the bacteriological distribution of nosocomial pneumonia induced by acute stroke, and to improve the preventative and therapeutic measures. Methods The clinical data of 192 patients with nosocomial pneumonia induced by acute stroke were analyzed respectively. Results Among the 192 cases, 13 pathogenic microorganisms and 116 strains were cultivated, and the first 4 strains were Escherichia coli, Psendomonas aeruginosa, Klebsiella and Staphylococcus aurens. Gram-negative bacteria were sensitive to imipenem, and Gram-positive bacteria were sensitive to vancomycin. Conclusion The main pathogens of nosocomial pneumonia in acute stroke patients may be Escherichia coli and Pseudomonas aeruginosa. The measures improving the therapeutic outcome of acute stroke include the enhancement of nursing quality, prevention of cross infection in hospital, increasing predictability of the occurrence of pneumonia induced by acute stroke, and the control of pneumonia.