重庆医学Issue(31)：3757-3758,3763,3.DOI:10.3969/j.issn.1671-8348.2013.31.012
川东北地区重症肺炎的临床特征
Clinical features of severe pneumonia in northeast sichuan
李红兵 1王平飞 1王廷杰 1张雪漫 1冉梅1
作者信息
- 1. 四川省达州市中心医院呼吸内科 635000
- 折叠
摘要
Abstract
Objective To learn the clinical features of severe pneumonia in northeast sichuan ,and to improve the diagnosis and treatment level .Methods Basic disease or concomitant diseases and it′s clinical features were retrospective analyzed in different age patients with severe pneumonia in 2011 .Results (1)basic diseases and fatality cases /deteriorated cases were increased in elderly patients with the increase of age .There were 4 patients infected with HIV (3 cases under 65 years old ,1 case over 70 year old) .(2) onset pattern was given first place to suffer from cold ,but 40% were showed for symptoms of nervous system ,heart disease and other respiratory system ;(3)The main respiratory failure types of severe pneumonia is Ⅰ (about 70% ) ,30% of patients needed support of machine ventilation ;(4)community pneumonia were main type(75% );detection rate of Fungal infections and G -bacteria were 25% -30% ,normal bacteria (Streptococcus and Neisser bacteria )were over 1/3 ,Staphylococcus aureus were about 10% ;(6) More than 70% of the patients with different degree of hypoalbuminemia ;(7)Cure accounts for 2/3 ,poor prognosis accounted for 1/3 ,in which death and voluntary discharge were each 16 .6% ,ventilator-dependent ,multi-organ failure ,infections and some com-plex social factors were the prognostic factors .Conclusion Understanding the features and treatment difficulty of the local commu-nity acquired pneumonia is helpful to improve the timely diagnosis ,treatment and rescue level of patients with severe pneumonia .关键词
重症肺炎/临床特征/川东北Key words
severe pneumonia/clinical features/northeast of Sichuan引用本文复制引用
李红兵,王平飞,王廷杰,张雪漫,冉梅..川东北地区重症肺炎的临床特征[J].重庆医学,2013,(31):3757-3758,3763,3.
