临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
12期
2208-2210
,共3页
ICU%医院感染性肺炎%病原体
ICU%醫院感染性肺炎%病原體
ICU%의원감염성폐염%병원체
ICU%nosocomial pneumonia%pathogen
目的：对ICU患感染性肺炎的病例进行分析，了解病原体的种类、分布情况、易感人群。方法分析ICU住院病例454例，其中83例为医院感染性肺炎，感染率为18．28%。对83例感染性肺炎痰培养、血常规、X片、预后、转归进行综合分析。结果83例痰培养结果前三位大肠埃希菌30．1%、肺炎克雷伯菌24．1%、铜绿假单胞菌10．0%。血常规WBC>10×109者38例(45．78%)，治愈和好转共67例(80．72%)、死亡16例(19．28%)。结论基础疾病较严重者，或老年人及肿瘤患者，是ICU医院感染性肺炎的的易感人群，对这类人群应加强监测。
目的：對ICU患感染性肺炎的病例進行分析，瞭解病原體的種類、分佈情況、易感人群。方法分析ICU住院病例454例，其中83例為醫院感染性肺炎，感染率為18．28%。對83例感染性肺炎痰培養、血常規、X片、預後、轉歸進行綜閤分析。結果83例痰培養結果前三位大腸埃希菌30．1%、肺炎剋雷伯菌24．1%、銅綠假單胞菌10．0%。血常規WBC>10×109者38例(45．78%)，治愈和好轉共67例(80．72%)、死亡16例(19．28%)。結論基礎疾病較嚴重者，或老年人及腫瘤患者，是ICU醫院感染性肺炎的的易感人群，對這類人群應加彊鑑測。
목적：대ICU환감염성폐염적병례진행분석，료해병원체적충류、분포정황、역감인군。방법분석ICU주원병례454례，기중83례위의원감염성폐염，감염솔위18．28%。대83례감염성폐염담배양、혈상규、X편、예후、전귀진행종합분석。결과83례담배양결과전삼위대장애희균30．1%、폐염극뢰백균24．1%、동록가단포균10．0%。혈상규WBC>10×109자38례(45．78%)，치유화호전공67례(80．72%)、사망16례(19．28%)。결론기출질병교엄중자，혹노년인급종류환자，시ICU의원감염성폐염적적역감인군，대저류인군응가강감측。
Objective To know about the species and distribution of pathogen and susceptible population by analyzing patients with infectious pneumonia in ICU. Methods 454 patients in ICU were retrospectively analyzed, and 83 of them were infectious pneumonia (18. 28%). The 83 cases were given a comprehensive analysis, including infectious pneumonia sputum culture, routine blood test, X-rays, prognosis and turnover. Results The results of sputum culture in the 83 cases showed that escherichia coli took up 30. 1%, klebsiella pneumoniae took up 24. 1%, and pseudomonas aeruginosa 10. 0%. There were 38 cases of WBC>10 ×109(45. 78%). 67 cases were cured and improved (80. 72%), and 16 cases of death were reported (19. 28%). Conclusion People suffering serious basic diseases and elderly patients with cancer are susceptible population to nosocomial pneumonia in ICU.
