中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
12期
5-6
,共2页
周东池%顾惠芳%潘丽华%战晓丽
週東池%顧惠芳%潘麗華%戰曉麗
주동지%고혜방%반려화%전효려
维持性血液透析%社区获得性肺炎
維持性血液透析%社區穫得性肺炎
유지성혈액투석%사구획득성폐염
Maintenance hemodialysis%Community acquired pneumonia
目的:探讨维持性血液透析患者合并社区获得性肺炎的发生率、相关的危险因素及防治措施.方法:回顾性分析上海浦东医院肾内科2007年8月-2012年5月确诊为维持性血液透析患者合并社区获得性肺炎的46例患者的临床资料,分析其危险因素及诊治情况.结果:维持性血液透析患者共137例,其中合并社区获得性肺炎46例,比例为33.6%,男25例,女21例,平均年龄(61.3±12.8)岁,治疗后好转和痊愈43例,死亡3例.肺炎组的年龄、糖尿病比例明显高于非肺炎组(P<0.05).肺炎组的血清白蛋白、血红蛋白浓度高于非肺炎组,差异有统计学意义(P<0.05).结论:维持性血液透析患者由于多种原因,极易发生社区获得性肺炎,特别是重症肺炎,死亡率明显增加.年龄、糖尿病、低蛋白血症、血红蛋白水平、透析不充分是维持性血液透析患者合并社区获得性肺炎的危险因素,应该引起重视并及时防治.
目的:探討維持性血液透析患者閤併社區穫得性肺炎的髮生率、相關的危險因素及防治措施.方法:迴顧性分析上海浦東醫院腎內科2007年8月-2012年5月確診為維持性血液透析患者閤併社區穫得性肺炎的46例患者的臨床資料,分析其危險因素及診治情況.結果:維持性血液透析患者共137例,其中閤併社區穫得性肺炎46例,比例為33.6%,男25例,女21例,平均年齡(61.3±12.8)歲,治療後好轉和痊愈43例,死亡3例.肺炎組的年齡、糖尿病比例明顯高于非肺炎組(P<0.05).肺炎組的血清白蛋白、血紅蛋白濃度高于非肺炎組,差異有統計學意義(P<0.05).結論:維持性血液透析患者由于多種原因,極易髮生社區穫得性肺炎,特彆是重癥肺炎,死亡率明顯增加.年齡、糖尿病、低蛋白血癥、血紅蛋白水平、透析不充分是維持性血液透析患者閤併社區穫得性肺炎的危險因素,應該引起重視併及時防治.
목적:탐토유지성혈액투석환자합병사구획득성폐염적발생솔、상관적위험인소급방치조시.방법:회고성분석상해포동의원신내과2007년8월-2012년5월학진위유지성혈액투석환자합병사구획득성폐염적46례환자적림상자료,분석기위험인소급진치정황.결과:유지성혈액투석환자공137례,기중합병사구획득성폐염46례,비례위33.6%,남25례,녀21례,평균년령(61.3±12.8)세,치료후호전화전유43례,사망3례.폐염조적년령、당뇨병비례명현고우비폐염조(P<0.05).폐염조적혈청백단백、혈홍단백농도고우비폐염조,차이유통계학의의(P<0.05).결론:유지성혈액투석환자유우다충원인,겁역발생사구획득성폐염,특별시중증폐염,사망솔명현증가.년령、당뇨병、저단백혈증、혈홍단백수평、투석불충분시유지성혈액투석환자합병사구획득성폐염적위험인소,응해인기중시병급시방치.
Objective:To investigate the incidence,risk factors and prevention measures with maintenance hemodialysis patients complicated with community acquired pneumonia simultaneously.Methods:We retrospectively analyzed the clinical data of 46 patients with maintenance hemodialysis complicated with community acquired pneumonia from August 2007 to May 2012 in our department.The risk factor and treatment of patients with maintenance hemodialysis complicated with community acquired pneumonia were analyzed.Results:A total of 137 cases in maintenance hemodialysis patients,which merged 46 patients with community acquired pneumonia,the proportion was 33.6%,male 25 cases,female 21 cases,average age (63.3±12.8)years,improved and recovered after treatment in 43 cases,3 deaths.The age,diabetes were significantly higher in pneumonia group than which in non pneumonia group(P<0.05).The serum albumin,hemoglobin concentration were higher than which in pneumonia group,there was significant difference(P<0.05).Conclusion:Hemodialysis patients due to various reasons,prone to community acquired pneumonia,especially severe pneumonia,mortality significantly increased.Age,diabetes,hypoalbuminemia, hemoglobin level,inadequate dialysis are risk factors in maintenance hemodialysis patients complicated with community acquired pneumonia,should pay attention to the prevention and timely.
