CAJ | 학술논문

目的：探讨慢性精神分裂症患者合并肺部感染的临床特征。方法对162例慢性精神分裂症合并肺部感染患者的临床资料进行回顾性分析。结果162例肺部感染者，其中节段性肺炎124例，慢性肺部感染38例。急性肺炎以中青年，精神病病程＜3 a居多，感染部位以右肺中叶和左肺舌叶为主，对症治疗后均痊愈；慢性感染以中老年多见，精神病病程＞3a，感染部位以两肺下叶、肺底及脊柱两旁慢性感染为主，对症治疗后痊愈率为71．1％，临床症状消失率为28．9％。结论精神分裂症患者合并肺部感染率较高，临床症状不典型，应制定有效的预防和控制对策，减少感染的发生。
목적：탐토만성정신분렬증환자합병폐부감염적림상특정。방법대162례만성정신분렬증합병폐부감염환자적림상자료진행회고성분석。결과162례폐부감염자，기중절단성폐염124례，만성폐부감염38례。급성폐염이중청년，정신병병정＜3 a거다，감염부위이우폐중협화좌폐설협위주，대증치료후균전유；만성감염이중노년다견，정신병병정＞3a，감염부위이량폐하협、폐저급척주량방만성감염위주，대증치료후전유솔위71．1％，림상증상소실솔위28．9％。결론정신분렬증환자합병폐부감염솔교고，림상증상불전형，응제정유효적예방화공제대책，감소감염적발생。
Objective To explore clinical features of chronic schizophrenic with pulmonary infection (PI) .Methods Clinical data of 162 chronic schizophrenics with PI were retrospec‐tively analyzed .Results Among them 124 ones suffered from segmental pneumonia and 38 chronic pulmo‐nary infection .Acute pneumonia was common in middle‐aged young persons with course of psychosis < 3 years ,middle lobe of right lung and ligula of left lung were main infection sites ,they all revered after symptomatic treatment ;chronic infection was common in middle‐aged and old persons with course > 3 years ,lobus inferior pulmonis of two lungs ,basis pulmonalis and two sides of backbone were main infec‐tion sites ,cure rate was 71 .1% after symptomatic treatment ,and disappearance rate of clinical symptoms 28 .9% .Conclusion Pulmonary infection rate of schizophrenics is higher ,clinical symptoms are atypical , effective prevention and control measures should be made to reduce the development of infection .