临床肺科杂志
臨床肺科雜誌
림상폐과잡지
Journal of Clinical Pulmonary Medicine
2015年
10期
1842-1844
,共3页
肺炎%临床特点%病原菌
肺炎%臨床特點%病原菌
폐염%림상특점%병원균
pneumonia%clinical characteristics%pathogenic bacteria
目的 探讨我院急诊科卫生保健相关性肺炎( health care associated pneumonia,HCAP)的临床特点. 方法 回顾性分析研究自2013年1月至2014年9月我院急诊科就诊的肺炎患者临床资料,并从发病年龄、合并基础疾病、痰培养结果、需呼吸机支持、住院天数及预后,与社区获得性肺炎( CAP)相比较. 结果 入组HCAP患者68例,CAP患者82例,HCAP患者合并基础疾病65例(95. 6%),明显高于CAP 32例(39%);HCAP痰培养阳性率48. 3%,其中革兰氏阴性菌占64. 3%,与 CAP ( 23. 1%)比较有显著统计学意义( P <0. 01);HCAP患者住院天数、需呼吸机支持患者、死亡率均高于CAP患者,具有统计学意义. 结论 HCAP是与CAP不同的肺炎类型,多为老年患者,合并症多,致病菌以革兰氏阴性菌为主,存在细菌耐药性高,预后差的临床特点.
目的 探討我院急診科衛生保健相關性肺炎( health care associated pneumonia,HCAP)的臨床特點. 方法 迴顧性分析研究自2013年1月至2014年9月我院急診科就診的肺炎患者臨床資料,併從髮病年齡、閤併基礎疾病、痰培養結果、需呼吸機支持、住院天數及預後,與社區穫得性肺炎( CAP)相比較. 結果 入組HCAP患者68例,CAP患者82例,HCAP患者閤併基礎疾病65例(95. 6%),明顯高于CAP 32例(39%);HCAP痰培養暘性率48. 3%,其中革蘭氏陰性菌佔64. 3%,與 CAP ( 23. 1%)比較有顯著統計學意義( P <0. 01);HCAP患者住院天數、需呼吸機支持患者、死亡率均高于CAP患者,具有統計學意義. 結論 HCAP是與CAP不同的肺炎類型,多為老年患者,閤併癥多,緻病菌以革蘭氏陰性菌為主,存在細菌耐藥性高,預後差的臨床特點.
목적 탐토아원급진과위생보건상관성폐염( health care associated pneumonia,HCAP)적림상특점. 방법 회고성분석연구자2013년1월지2014년9월아원급진과취진적폐염환자림상자료,병종발병년령、합병기출질병、담배양결과、수호흡궤지지、주원천수급예후,여사구획득성폐염( CAP)상비교. 결과 입조HCAP환자68례,CAP환자82례,HCAP환자합병기출질병65례(95. 6%),명현고우CAP 32례(39%);HCAP담배양양성솔48. 3%,기중혁란씨음성균점64. 3%,여 CAP ( 23. 1%)비교유현저통계학의의( P <0. 01);HCAP환자주원천수、수호흡궤지지환자、사망솔균고우CAP환자,구유통계학의의. 결론 HCAP시여CAP불동적폐염류형,다위노년환자,합병증다,치병균이혁란씨음성균위주,존재세균내약성고,예후차적림상특점.
Objective To explore the clinical characteristics of hospital healthcare associated pneumonia ( HCAP) in our emergency department. Methods The clinical data of patients with pneumonia from January, 2013 to September, 2014 were retrospectively analyzed, including their age, underlying diseases, sputum culture results, ventilator support, duration of hospital stay and prognosis, they were compared with community acquired pneumonia. Results There were 65 cases complicated with underlying diseases (95. 6%), which were significantly higher than that of CAP patients (39%). The positive rate of sputum culture was 48. 3% in HCAP patients, including 64. 3% of gram negative bacilli, which was significantly higher than that in CAP (23. 1%) (P<0. 01). The duration of hospi-tal stay and ventilator support and the mortality were all higher in HCAP patients than in CAP patients. Conclusion HCAP is different from CAP pneumonia type, which has the characteristics of elderly patients, more complications, gram negative pathogenic bacteria, high resistance and poor outcomes.
