川北医学院学报Issue(4)：451-454,4.DOI:10.3969/j.issn.1005-3697.2015.04.07
42例社区获得性耐甲氧西林金黄色葡萄球菌肺炎的临床特点及预后因素的分析研究
Analysis of clinical characteristic and risk factor for prognosis in 42 cases of patients with community acquired-MRSA pneumonia
摘要
Abstract
Objective:To investigate the clinical characteristic and risk factors for prognosis in patients with community ac-quired methicillinresistant Staphylococcus aureus( CA-MRSA) pneumonia. Methods:We retrospectively collected the clinical informa-tion of 132 patients with community acquired-MRSA pneumonia admitted to our hospital from January of 2010 to December of 2014,and analyzed the clinical characteristics and risk factors for prognosis. Results:Ultimately 42 cases included in the study,tachypnoea was the most common symptom in 40 cases(95. 24%),followed by fever in 38 cases(90. 48%),cough in 35 cases(83. 33%),shock in 25 cases(59. 52%),symptoms like influenza in 17 cases(40. 48%),confusion in 15 cases(35. 71%),haemoptysis in 14 cases(33. 33%),chest pain in 9 cases(21. 43%),gastro-intestinal symptoms in 9 cases(21. 43%),rash in 6 cases(14. 29%). 17 cases of death,its mortality was 40. 48%. The univariate analysis showed that hospitalization of ICU,mechanical ventilation,multi-organ failure, shock,respiratory failure,disseminated intravascular coagulation,leucopenia,Influenza like symptoms and rash were the factors associat-ed with death. Conclusion:Recognization of clinical characteristics of CA-MRSA pneumonia is instructive for prompt diagnosis and treatment. To fully put high premium on the risk factors for prognosis will has great clinical significance for improving prognosis and a-dopting effective therapy.关键词
社区获得性肺炎/耐甲氧西林金黄色葡萄球菌/临床特点/预后Key words
Community-acquired pneumonia/Methicillin-resistant Staphylococcus aureus/Clinical charac-teristic/Prognosis分类
医药卫生引用本文复制引用
罗琴,夏欢,杨新玲..42例社区获得性耐甲氧西林金黄色葡萄球菌肺炎的临床特点及预后因素的分析研究[J].川北医学院学报,2015,(4):451-454,4.基金项目
国家自然科学基金(81460178) （81460178）
新疆维吾尔自治区科技支疆项目(201591156) （201591156）
