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一、本文报告中毒型肺炎65例,占普通型大叶性肺炎的11.4％,中年及老年人易发生。二、本病多数起病急骤,以显著的全身毒血症状和休克为主要特征。本病的发热和各系统症状(尤以循环系、神经系、呼吸系和造血系为突出),均有其一定特点与普通型大叶性肺炎有所差别。本病的X线表现包括病变形态、部位及病变消散日期等均与普通型大叶性肺炎相似,惟病变呈多叶性者较普通型多。三、本组病死率为24.6.％,发生併发症者占40％,其中以中毒性心肌炎、肺水肿、脑膜炎及严重心律紊乱等影响严重。病前有伴发症者占32％,它们对本病的发生与发展为不可忽视的因素。四、对发病机制、治疗方面的几个问题和影响预后的因素作了扼要的讨论。
First, this report 65 cases of poisoning pneumonia, accounting for 11.4% of ordinary lobular pneumonia, middle-aged and elderly prone. Second, most of the sudden onset of the disease, with significant systemic toxemia and shock as the main feature. The fever and the system of the disease symptoms (especially in the circulatory system, nervous system, respiratory and hematopoietic line for the prominent), has its own characteristics and common type of lobar pneumonia are different. The X-ray manifestations of the disease, including lesion morphology, location and lesions dissipate date and so on are similar with the common type of lobar pneumonia, but lesions were more lobe than the average type. Third, the case fatality rate was 24.6%, complications occurred in 40%, of which toxic myocarditis, pulmonary edema, meningitis and severe heart disorders and other serious impact. Premorbid with concomitant disease accounted for 32% of their occurrence and development of the disease can not be ignored. Fourth, the pathogenesis, treatment of several issues and factors that affect prognosis made a brief discussion.