中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
21期
11-13
,共3页
脑血管障碍%肺损伤%并发症
腦血管障礙%肺損傷%併髮癥
뇌혈관장애%폐손상%병발증
Cerebrovascular disorders%Lung injury%Complications
目的 探讨重症脑血管疾病并发肺损伤的临床特点.方法 回顾性分析46例重症脑血管疾病患者的临床资料,对并发肺损伤的原因、危险因素、临床表现等进行分析.结果 46例重症脑血管疾病患者中33例出现肺部并发症,占71.7％(33/46),其中28例并发肺部感染;3例并发神经源性肺水肿(其中2例系丘脑出血破入脑室者,1例系昏迷的蛛网膜下隙出血者,最后死亡);2例并发肺栓塞(该2例患者均系高龄、既往有肺部基础疾病以及肢体完全瘫痪、发病后卧床2周以上).高龄、意识障碍、吞咽困难、卧床时间等是导致重症脑血管疾病并发肺损伤的重要危险因素(P＜0.05).结论 肺损伤是重症脑血管疾病患者的常见并发症,降低其发生率,关键在于早期评估、早期预防、早期诊断和治疗.
目的 探討重癥腦血管疾病併髮肺損傷的臨床特點.方法 迴顧性分析46例重癥腦血管疾病患者的臨床資料,對併髮肺損傷的原因、危險因素、臨床錶現等進行分析.結果 46例重癥腦血管疾病患者中33例齣現肺部併髮癥,佔71.7％(33/46),其中28例併髮肺部感染;3例併髮神經源性肺水腫(其中2例繫丘腦齣血破入腦室者,1例繫昏迷的蛛網膜下隙齣血者,最後死亡);2例併髮肺栓塞(該2例患者均繫高齡、既往有肺部基礎疾病以及肢體完全癱瘓、髮病後臥床2週以上).高齡、意識障礙、吞嚥睏難、臥床時間等是導緻重癥腦血管疾病併髮肺損傷的重要危險因素(P＜0.05).結論 肺損傷是重癥腦血管疾病患者的常見併髮癥,降低其髮生率,關鍵在于早期評估、早期預防、早期診斷和治療.
목적 탐토중증뇌혈관질병병발폐손상적림상특점.방법 회고성분석46례중증뇌혈관질병환자적림상자료,대병발폐손상적원인、위험인소、림상표현등진행분석.결과 46례중증뇌혈관질병환자중33례출현폐부병발증,점71.7％(33/46),기중28례병발폐부감염;3례병발신경원성폐수종(기중2례계구뇌출혈파입뇌실자,1례계혼미적주망막하극출혈자,최후사망);2례병발폐전새(해2례환자균계고령、기왕유폐부기출질병이급지체완전탄탄、발병후와상2주이상).고령、의식장애、탄인곤난、와상시간등시도치중증뇌혈관질병병발폐손상적중요위험인소(P＜0.05).결론 폐손상시중증뇌혈관질병환자적상견병발증,강저기발생솔,관건재우조기평고、조기예방、조기진단화치료.
Objective To investigate the clinical characteristics of severe cerebrovascular disease complicated with lung injury.Methods The clinical data of 46 cases of severe cerebrovascular disease were retrospectively analyzed.The cause,risk factors,clinical manifestations of lung injury were also analyzed.Results In 46 cases of severe cerebrovascular disease,33 cases [71.7％(33/46)] occured lung injury,including 28 cases of lung infection,3 cases of neurogenic lung edema,2 cases of lung embolism.Great age,disturbance of consciousness,swallowing disorders,bed time were the important risk factors for lung injury (P ＜ 0.05).Conclusions Lung injury is a common complication of severe cerebrovascular disease.Early assessment,early prevention and early diagnosis and treatment are the keys for reducing its incidence.
