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本文回顾对比60年代初期与80年代初期肺炎住院病例670例。可以看出:80年代初期肺炎住院病人比60年代初期增多;肺炎病死率从3.53%上升至9.88%;肺炎病人的年龄高峰向高龄推移;肺炎病原茵发生明显变化,60年代初期以肺炎球菌为主,80年代初期革兰氏阴性杆菌明显增多而未分离出肺炎球菌的纯培养;80年代肺炎病原菌对多种常见抗生素的敏感性下降。指出目前应重视肺炎的病因学诊断。
This article reviews 670 hospitalized cases of pneumonia in the early 1960s and early 1980s. It can be seen that in the early 1980s, the number of inpatients with pneumonia increased more than that in the early 1960s; the mortality rate of pneumonia increased from 3.53% to 9.88%; the peak age of pneumonia patients shifted to advanced age; the pathogen of pneumonia changed significantly. In the early 1960s, The main, early 80’s Gram-negative bacilli increased significantly without isolating pneumococcal pure culture; 80’s pneumonia pathogens on a variety of common antibiotics decreased sensitivity. It is pointed out that the etiological diagnosis of pneumonia should be emphasized at present.