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目的探讨目前重症肺炎的临床特点及救治经验。方法分析武汉市江夏区安山卫生院2009-12新诊断重症肺炎病例的临床资料、治疗方法及预后。结果 20例重症肺炎患者孕产妇比例最高,血白细胞小于10.0×109/L的18例,乳酸脱氢酶升高,达100%,胸部X线均表现为双肺多发斑片状阴影,病情凶险,55%%患者需给以呼吸机治疗,病死率15%,均为青年女性。结论目前重症肺炎以病毒感染为主,孕产妇是高危人群,病情进展迅速,早诊断、早治疗,合理使用糖皮质激素和人工通气,保持液体负平衡非常重要。
Objective To explore the current clinical features and treatment of severe pneumonia. Methods The clinical data, treatment and prognosis of newly diagnosed severe pneumonia in Anshan Hospital, Jiangxia District, Wuhan City, 2009-12 were analyzed. Results Twenty patients with severe pneumonia had the highest proportion of pregnant women, 18 cases with less than 10.0 × 109 / L white blood cells and elevated lactate dehydrogenase (100%). The chest radiographs showed multiple patchy lungs , 55 %% of patients need to be treated with ventilator, fatality rate of 15%, all young women. Conclusions At present, severe pneumonia is mainly caused by virus infection. Maternal is a high-risk group. The disease progresses rapidly. Early diagnosis and early treatment are reasonable. It is very important to maintain glucocorticoids and artificial ventilation to keep the liquid negatively balanced.