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社会获得性肺炎(CAP)即使在高度发达国家仍然是发病和死亡的主要原因.本文前瞻性研究了成人 CAP 住院患者死亡和生存者后果的预后因素,以及致病原与死亡率的关系.病人和方法 1987年 Danderyd 医院收治了大于18岁的 CAP 患者277例,诊断标准为入院前起病的急性下呼吸道病变,发热(>38.5℃),胸片有急性肺炎的改变。大多数患者分别取痰、尿、血及鼻咽部和支气管分泌物进行病原微生物学及血清学检查,应用抗生素治疗,记录治疗结果,分析死亡率及随访结果。
Social-acquired pneumonia (CAP) remains a leading cause of morbidity and mortality even in the more developed countries.This prospectively investigates the prognostic factors and the association between pathogenic agents and mortality in hospitalized patients with CAP and mortality in adults. METHODS: A total of 277 CAP patients aged 18 and older were enrolled at Danderyd Hospital in 1987. The diagnostic criteria were acute lower respiratory tract disease, fever (> 38.5 ° C), and acute chest pneumonia in the chest. Most patients were sputum, urine, blood and nasopharyngeal and bronchial secretions for pathogenic microbiology and serological examination, the application of antibiotics, record the treatment results, analysis of mortality and follow-up results.