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HIV合并重症肺炎临床与预后因素分析

刘升 林艳荣 李雪琴 陆宁 覃鸿发 陈跃华

中国医学创新Issue(36):49-50,51,3.
中国医学创新Issue(36):49-50,51,3.DOI:10.3969/j.issn.1674-4985.2014.36.020

HIV合并重症肺炎临床与预后因素分析

HIV Patients with Severe Pneumonia Clinical and Prognostic Factor Analysis

刘升 1林艳荣 1李雪琴 1陆宁 1覃鸿发 1陈跃华1

作者信息

  • 1. 南宁市第四人民医院暨广西艾滋病临床治疗中心 广西 南宁530023
  • 折叠

摘要

Abstract

Objective:To investigate and analyze the merger HIV patients with severe pneumonia clinical manifestations and prognostic factors.Method:January 2011 December 2013 merger HIV patients admitted to hospital with severe pneumonia 51 cases for the study, based on the actual situation into survival prognosis group and death group; analysis of the two groups were mixed infection and clinical etiology, summarize relevant prognostic factors.Result:HIV complicated by severe pneumonia pathogen spectrum mainly Pneumocystis, bacteria, TB, fungal-based; prognostic univariate analysis, serum LDH levels found two groups of patients, the rate of mechanical ventilation, length of stay and other indicators differences were statistically significant (P<0.05); Logistic regression analysis showed that a consolidated basis disease, mechanical ventilation, low albumin levels and abnormal LDH are the main risk factors for severe pneumonia in patients with HIV prognosis merger, was a major factor leading to the survival of patients. Conclusion:HIV patients with severe pneumonia pathogen spectrum mainly Pneumocystis, bacteria, TB based, which abnormally elevated blood LDH, high ventilation rates, low protein levels and disease on a consolidated basis is a major cause of poor prognosis of patients with risk factors, these factors should be performed for appropriate intervention and treatment, which is to alleviate disease progression and improve clinical outcomes in patients with a positive meaning.

关键词

HIV/重症肺炎/预后/因素

Key words

HIV/Severe pneumonia/Prognosis/Factor

引用本文复制引用

刘升,林艳荣,李雪琴,陆宁,覃鸿发,陈跃华..HIV合并重症肺炎临床与预后因素分析[J].中国医学创新,2014,(36):49-50,51,3.

基金项目

南宁市科学研究与技术开发计划项目 ()

中国医学创新

1674-4985

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