摘要
Abstract
Objective To analyze the clinical characteristics and risk factors of patients with severe community-acquired pneumonia(SCAP).Methods A total of 212 patients with community-acquired pneumonia(CAP)who received treatment in Nanyang First People's Hospital from December 2022 to December 2024 were selected.Patients who did not progress to SCAP were assigned to the non-SCAP group,and those who progressed to SCAP were assigned to the SCAP group.The clinical data of the two groups were compared.Results There were 148 patients in the non-SCAP group(69.81%)and 64 patients in the SCAP group(30.19%).Univariate analysis showed that the levels of white blood cell(WBC),neutrophil(NEU),C-reactive protein(CRP),lactate dehydrogenase(LDH),and lactate(LAC)in the SCAP group were significantly higher than those in the non-SCAP group(P＜0.05).Multivariate analysis indicated that pulmonary infiltration＞50%,elevated WBC,elevated NEU,elevated CRP,and elevated LAC were risk factors for the progression of CAP to SCAP(P＜0.05).Conclusion Pulmonary infiltration＞50%,elevated WBC,elevated NEU,elevated CRP,and elevated LAC are risk factors for the progression of CAP to SCAP.Clinically,monitoring these indicators can help identify high-risk patients at an early stage,optimize diagnosis and treatment strategies,and improve patient prognosis.关键词
CAP/SCAP/临床特点/危险因素Key words
CAP/SCAP/Clinical characteristics/Risk factors分类
医药卫生
