Abstract: Stroke-associated pneumonia (SAP) is a common complication after stroke and an important risk factor for mortality. Clinically, SAP is often complicated by multidimensional dysfunctions such as hemiplegia, dysphagia, speech disorders, and cognitive impairment, leading to poor prognosis and severely compromised quality of daily life in patients. This paper reports the process of early comprehensive rehabilitation management for a patient with cerebral infarction in the left middle cerebral artery territory complicated by SAP, including respiratory rehabilitation training, limb function training, swallowing and speech training, as well as occupational and physical therapy. By summarizing the clinical data of this patient and reviewing relevant literature, this paper explores the early comprehensive rehabilitation protocol for SAP patients with multidimensional dysfunctions, analyzes the key links and influencing factors of early rehabilitation for SAP, and clarifies the importance of rehabilitation team collaboration and the multi-disciplinary team model in the management of such patients.

Key words: Stroke-associated pneumonia; Early rehabilitation; Dysphagia; Aphasia; Cognitive impairment

摘要： 卒中相关性肺炎（stroke-associated pneumonia，SAP）是卒中后较常见的并发症，也是患者死亡的重要危险因素。临床上，SAP常合并偏瘫及吞咽、言语、认知等多维度功能障碍，患者康复预后较差，日常生活质量受到严重影响。本文报道１例左侧大脑中动脉区脑梗死合并SAP患者的早期综合康复管理过程，涵盖呼吸康复训练、肢体功能训练、吞咽与言语训练，以及作业与物理治疗等。本文通过总结该患者的临床资料，并结合相关文献报道，探讨SAP合并多维度功能障碍患者的早期综合康复方案，分析SAP早期康复的关键环节与影响因素，并阐明康复科团队协作及多学科诊疗模式在此类患者管理中的重要性。

关键词: 卒中相关性肺炎; 早期康复; 吞咽障碍; 失语; 认知障碍