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目的观察影响弥漫性肺泡出血预后的因素。方法回顾性分析南昌大学第一附属医院2005年1月～2007年11月ICU收治的5例弥漫型肺泡出血患者的临床资料。结果进行性贫血5例(100%),血小板升高5例(100%),肾功能不全5例(100%)、机械通气5例(100%),血液滤过5例(100%),激素使用5例(100%),继发感染4例(80.0%),病死率4例(80.0%)。结论病因治疗是患者存活的关键。
Objective To observe the factors affecting the prognosis of diffuse alveolar hemorrhage. Methods The clinical data of 5 patients with diffuse alveolar hemorrhage admitted to the ICU of the First Affiliated Hospital of Nanchang University from January 2005 to November 2007 were retrospectively analyzed. Results Five patients (100%) had anemia, five patients (100%) had thrombocytopenia, five patients (100%) had renal insufficiency, five patients (100%) had mechanical ventilation and five patients (100% Five cases were used hormone (100%), four cases were secondary infection (80.0%), and the case fatality rate was four cases (80.0%). Conclusion Etiology treatment is the key to survival of patients.