CAJ | 학술논문

目的：：探讨急诊肺炎患者发生ALI/ARDS的危险因素。方法：通过回顾性分析180例急诊肺炎患者临床资料对各项因素进行单因素分析及Logistic回归分析，观察患者继发ALI/ARDS的危险因素。结果：发生ALI/ARDS的患者共63例，发生率35%。单因素分析显示年龄、初始吸氧浓度、APACJEⅢ评分、低蛋白血症为急诊肺炎患者发展为ALI/ARDS的危险因素(P<0．05)。 Logistic回归分析显示，初始吸氧浓度、APACJEⅢ评分、年龄为ALI/ARDS发生的独立危险因素。结论：初始吸氧浓度>2 L/min和APACJEⅢ评分≥3．797分、年龄≥60岁是急诊肺炎患者发生ALI/ARDS的高危因素，应做到早期诊治。
목적：：탐토급진폐염환자발생ALI/ARDS적위험인소。방법：통과회고성분석180례급진폐염환자림상자료대각항인소진행단인소분석급Logistic회귀분석，관찰환자계발ALI/ARDS적위험인소。결과：발생ALI/ARDS적환자공63례，발생솔35%。단인소분석현시년령、초시흡양농도、APACJEⅢ평분、저단백혈증위급진폐염환자발전위ALI/ARDS적위험인소(P<0．05)。 Logistic회귀분석현시，초시흡양농도、APACJEⅢ평분、년령위ALI/ARDS발생적독립위험인소。결론：초시흡양농도>2 L/min화APACJEⅢ평분≥3．797분、년령≥60세시급진폐염환자발생ALI/ARDS적고위인소，응주도조기진치。
Objective:To explore the risk factors of ALI/ARDS in emergency patients with pneumonia. Methods:Retrospective-ly analyze of clinical data of 180 cases of emergency patients with pneumonia,with single factor analysis and Logistic regression analysis observe the risk factors of ALI/ARDS in emergency patients with pneumonia. Results:ALI/ARDS occurred in 63 patients,the incidence was 35%. Single factor analysis showed that age,initial concentration of oxygen inhalation,APACJEⅢscore and hypoproteinemia were risk factors of the emergency patients with pneumonia for the development of ALI/ARDS (P<0. 05). Logistic regression analysis showed that initial oxygen concentration,APACJE Ⅲ score and age were independent risk factors for ALI/ARDS. Conclusion:The initial oxy-gen concentration >2L/min and APACJEⅢscore≥3. 797 and age≥60 years were the high risk factors of ALI/ARDS,early diagnosis and treatment should be done.