国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
13期
999-1002
,共4页
妊娠期肺炎%临床特点%预后
妊娠期肺炎%臨床特點%預後
임신기폐염%림상특점%예후
Pneumonia in pregnancy%Clinical characteristic%Prognosis
目的 了解妊娠期肺炎患者的临床特点和预后.方法 回顾性分析2005年2月至2011年2月住院的妊娠期肺炎51例,其中妊娠期甲型H1N1流感肺炎组16例,妊娠期社区获得性肺炎组35例.结果 妊娠期甲型H1N1流感肺炎组白细胞(6.49±2.54)×109/L低于妊娠期社区获得性肺炎组白细胞(12.14±4.93)×109/L,(P＜0.000 1＜0.05);妊娠期甲型H1N1流感肺炎组C反应蛋白(85.07±61.02) mg/L高于妊娠期社区获得性肺炎组C反应蛋白(46.13±35.46) mg/L(P=0.030 2＜0.05).在胸部CT上,妊娠期甲型H1N1流感肺炎组12例(75％)比妊娠期社区获得性肺炎组17例(40％)更多出现双肺病变(P =0.020 3).妊娠期甲型H1N1流感肺炎组死胎4例(25％),妊娠期社区获得性肺炎组死胎0例(0％)(P=0.011 7).结论 妊娠期甲型H1N1流感肺炎组白细胞一般正常或不升高,低于妊娠期社区获得性肺炎组.前者C反应蛋白比后者升高的更明显,炎症反应更重.妊娠期甲型H1N1流感肺炎组肺部多出现双肺受累,死胎多.
目的 瞭解妊娠期肺炎患者的臨床特點和預後.方法 迴顧性分析2005年2月至2011年2月住院的妊娠期肺炎51例,其中妊娠期甲型H1N1流感肺炎組16例,妊娠期社區穫得性肺炎組35例.結果 妊娠期甲型H1N1流感肺炎組白細胞(6.49±2.54)×109/L低于妊娠期社區穫得性肺炎組白細胞(12.14±4.93)×109/L,(P＜0.000 1＜0.05);妊娠期甲型H1N1流感肺炎組C反應蛋白(85.07±61.02) mg/L高于妊娠期社區穫得性肺炎組C反應蛋白(46.13±35.46) mg/L(P=0.030 2＜0.05).在胸部CT上,妊娠期甲型H1N1流感肺炎組12例(75％)比妊娠期社區穫得性肺炎組17例(40％)更多齣現雙肺病變(P =0.020 3).妊娠期甲型H1N1流感肺炎組死胎4例(25％),妊娠期社區穫得性肺炎組死胎0例(0％)(P=0.011 7).結論 妊娠期甲型H1N1流感肺炎組白細胞一般正常或不升高,低于妊娠期社區穫得性肺炎組.前者C反應蛋白比後者升高的更明顯,炎癥反應更重.妊娠期甲型H1N1流感肺炎組肺部多齣現雙肺受纍,死胎多.
목적 료해임신기폐염환자적림상특점화예후.방법 회고성분석2005년2월지2011년2월주원적임신기폐염51례,기중임신기갑형H1N1류감폐염조16례,임신기사구획득성폐염조35례.결과 임신기갑형H1N1류감폐염조백세포(6.49±2.54)×109/L저우임신기사구획득성폐염조백세포(12.14±4.93)×109/L,(P＜0.000 1＜0.05);임신기갑형H1N1류감폐염조C반응단백(85.07±61.02) mg/L고우임신기사구획득성폐염조C반응단백(46.13±35.46) mg/L(P=0.030 2＜0.05).재흉부CT상,임신기갑형H1N1류감폐염조12례(75％)비임신기사구획득성폐염조17례(40％)경다출현쌍폐병변(P =0.020 3).임신기갑형H1N1류감폐염조사태4례(25％),임신기사구획득성폐염조사태0례(0％)(P=0.011 7).결론 임신기갑형H1N1류감폐염조백세포일반정상혹불승고,저우임신기사구획득성폐염조.전자C반응단백비후자승고적경명현,염증반응경중.임신기갑형H1N1류감폐염조폐부다출현쌍폐수루,사태다.
Objective Understand to patients pneumonia in pregnancy the characteristics of clinical and prognosis.Methods A retrospective study was performed on 51 cases disease of pneumonia in pregnancy from Feb.2005 to Feb.2011.Among of all cases influenza A(H1N1) pneumonia in pregnancy is 16 cases and community-Acquired pneumonia in pregnancy is 35 cases.Results White blood count always lower influenza A (H1N1) pneumonia in pregnancy (6.49 ± 2.54) × 109/L compared to community Acquired pneumonia in pregnancy (12.14 ± 4.93) × 109/L (P ＜ 0.000 1＜ 0.05).CRP is (85.07±61.02) mg/L in the influenza A(H1N1) pneumonia,is high compared CRP is (46.13±35.46)mg/L community-Acquired pneumonia in pregnancy (P =0.030 2 ＜ 0.05).Influenza A (H1N1)pneumonia in pregnancy 12 case (75％) were compared with the community-Acquired pneumonia in pregnancy 17 case (40％) the following CT findings were obvious (P =0.020 3).Changes CT image were more appeared in the two side of lung.Death rate of fetus is higher in the influenza A(H1N1)pneumonia-in pregnancy,it is 4 case.But community-Acquired pneumonia in pregnancy is no case.Conclusions In the influenza A(H1N1) pneumonia in pregnancy,white cell is lower compared with community-Acquired pneumonia in pregnancy.The former CRP is significant high in the latter.Changes CT image were more appeared in the two side of lung.Death rate of fetus is higher in the influenza A (H1N1) pneumonia in pregnancy.
