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作者对无免疫功能受损需住院治疗的严重院外获得性肺炎(CAP)患者进行了回顾性研究,旨在了解其病因、预后及治疗效果.选择67例需住院的严重CAP 患者,平均年龄56.8±16.6岁,伴呼吸衰竭(Pao_2<60mmHg)、感染性休克、肺外感染性并发症、神志障碍,胸片示病变累及1叶以上,有空洞和胸水,患者伴或不伴其它慢性疾病,但均无原发性或继发性免疫功能缺陷性疾病。病因67例中32例(47.7%)病因诊断明确,最常见的病原体为肺炎双球菌12例(37.5%),其次嗜
The authors performed a retrospective study of patients with severe extra-hospital acquired pneumonia (CAP) who required hospitalization for impaired immune function in order to understand their etiology, prognosis, and treatment outcome.Seventy 67 patients with severe CAP requiring hospitalization were selected, with an average age of 56.8 ± 16.6 years old, with respiratory failure (Pao_2 <60mmHg), septic shock, extrapulmonary infectious complications, psychiatric disorders, chest X-ray showed lesions more than 1 leaf, empty and pleural effusion, patients with or without other chronic diseases, But no primary or secondary immune deficiency. The etiology of 67 cases, 32 cases (47.7%) etiology clear diagnosis, the most common pathogen pneumococci 12 cases (37.5%), followed by addicted