中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
8期
18-20
,共3页
方桂桔%邓新宇%薛青%焦维克%黄康健
方桂桔%鄧新宇%薛青%焦維剋%黃康健
방계길%산신우%설청%초유극%황강건
肺炎%社区获得性%重症%预后%影响因素
肺炎%社區穫得性%重癥%預後%影響因素
폐염%사구획득성%중증%예후%영향인소
Pneumonia%Community-acquired%Severe%Prognosis%Influencing factors
目的 探讨影响致病菌对抗生素敏感的重症社区获得性肺炎(Severe community acquired Pneumonia,SCAP,下同)患者预后的其它因素.方法 参照2006年SCAP诊断标准,回顾性分析2004年7月至2008年12月致病菌对抗生素敏感的45例SCAP患者的临床资料.结果 应用头孢三代+大环内酯类组死亡风险高于其它组；死亡组低蛋白血症例数多于存活组；酗酒合并基础疾病组和单纯酗酒组的死亡率均高于其他两组,差异均具有统计学意义(P＜0.05).结论 为改善SCAP患者的预后,除积极应对可逆因素外,还应强调对相对不可逆因素的一级预防.
目的 探討影響緻病菌對抗生素敏感的重癥社區穫得性肺炎(Severe community acquired Pneumonia,SCAP,下同)患者預後的其它因素.方法 參照2006年SCAP診斷標準,迴顧性分析2004年7月至2008年12月緻病菌對抗生素敏感的45例SCAP患者的臨床資料.結果 應用頭孢三代+大環內酯類組死亡風險高于其它組；死亡組低蛋白血癥例數多于存活組；酗酒閤併基礎疾病組和單純酗酒組的死亡率均高于其他兩組,差異均具有統計學意義(P＜0.05).結論 為改善SCAP患者的預後,除積極應對可逆因素外,還應彊調對相對不可逆因素的一級預防.
목적 탐토영향치병균대항생소민감적중증사구획득성폐염(Severe community acquired Pneumonia,SCAP,하동)환자예후적기타인소.방법 삼조2006년SCAP진단표준,회고성분석2004년7월지2008년12월치병균대항생소민감적45례SCAP환자적림상자료.결과 응용두포삼대+대배내지류조사망풍험고우기타조；사망조저단백혈증례수다우존활조；후주합병기출질병조화단순후주조적사망솔균고우기타량조,차이균구유통계학의의(P＜0.05).결론 위개선SCAP환자적예후,제적겁응대가역인소외,환응강조대상대불가역인소적일급예방.
Objective To investigate the prognosis factors on SCAP patients which are sensitive to the antibiotics.Methods According to the diagnosis standard of SCAP in 2006，45 SCAP patients in our hospital from july 2004 to December 2008 were analyzed retrospectively，of which the pathogens are sensitive to the antibiotics.Results The mortality risk of using the third generation cephalosporins plus macrolides was higher than that of others；The number of the samples with hypoproteinemia in death group is larger than that of survival group；The mortality rate of alcoholism combined concomitant disease group and simple alcoholism group are both higher than that of others.Conclusion To improve the prognosis of SCAP patients，we should eliminate the interfered factors positively，and we shall emphasize primary prevention of the factors.
