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目的 了解１６６ 例急性脑血管病合并肺部感染的发生率及预后，并探讨其病理机制。方法 把２ 年内急性脑血管病病人按年龄及肺部感染情况分成三组，即老年性感染组，非感染组及非老年性组，分析对比他们之间关系。结果 急性脑血管病合并肺部感染发生率为５６ ％ ，死亡率高（χ２ ＝ １７ ．２ ， Ｐ＜ ０．０１），以院内感染为主（８７％ ），其菌株以铜绿假单胞菌为主。结论 老年急性脑血管病容易合并肺部感染，其菌株毒性大，耐药性强，需选用恰当抗生素。配合综合措施，降低发生率。
Objective To investigate the incidence and prognosis of 166 cases of acute cerebrovascular disease complicated with pulmonary infection and to explore its pathological mechanism. Methods The patients with acute cerebrovascular disease within 2 years were divided into three groups according to their age and pulmonary infection, that is, senile infection group, non-infected group and non-senile group. The relationship between them was analyzed and compared. Results The incidence of acute cerebrovascular disease complicated with pulmonary infection was 56%, with high mortality (χ2 = 17.2, P <0.01) and nosocomial infection (87%). The strains were infected with Pseudomonas aeruginosa Mainly. Conclusions Senile acute cerebrovascular disease is prone to pulmonary infection. The strain is highly toxic and resistant, and the appropriate antibiotics should be used. With the comprehensive measures to reduce the incidence.