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目的分析高龄难治性肺炎的原因、临床特点、病原体分布、耐药性情况及防治策略。方法回顾性分析郑州大学附属郑州中心医院2012年6月至2014年12月116例高龄难治性肺炎患者的临床资料。结果 116例患者治愈54例,好转40例,无效12例,死亡10例。革兰阴性杆菌及革兰阳性球菌除对哌拉西林他唑巴坦、头孢西丁、头孢哌酮舒巴坦、阿米卡星、亚胺培南及美罗培南耐药率较低外,对其他抗生素耐药率均较高。结论临床医师应对高龄难治性肺炎予以重视,进行积极防范、早期诊断、明确病因并及时治疗,以改善预后、提高生存质量。
Objective To analyze the causes, clinical characteristics, distribution of pathogens, drug resistance and control strategies of advanced refractory pneumonia. Methods The clinical data of 116 elderly refractory pneumonia patients from June 2012 to December 2014 in Zhengzhou Central Hospital Affiliated to Zhengzhou University were retrospectively analyzed. Results 116 patients were cured in 54 cases, improved in 40 cases, 12 cases were ineffective, 10 cases died. Gram-negative bacilli and Gram-positive cocci in addition to piperacillin tazobactam, cefoxitin, cefoperazone sulbactam, amikacin, imipenem and meropenem low resistance rate, the Other antibiotic resistance rates are higher. Conclusion Clinicians should pay more attention to advanced refractory pneumonia, and should take active precaution, early diagnosis, definite cause and timely treatment to improve the prognosis and improve the quality of life.