摘要
目的探讨重症肺炎死亡的危险因素以指导临床救治。方法参照2001年美国ATS指南对重症社区获得性肺炎(SCAP)的判断标准,分析我院2004年重症肺炎患者42例临床资料。结果42例重症肺炎患者中,死亡31例,平均年龄(74.3±12.2)岁;存活11例,平均年龄(51.4±18.9)岁,死亡组年龄明显大于存活组,t=4.85,P<0.05。部分营养支持治疗与充分营养支持治疗后患者的病死率分别是82.8%(24/29)与53.8%(7/13),差异有显著性意义,χ2=3.851,P<0.05。结论年龄是老年重症肺炎患者病死率的危险因素,充分营养支持治疗可降低重症肺炎患者的病死率。
Objective To investigate the risk factors related to death of severe pneumonia in an attempt to instruct clinical work. Methods According to Guidelines of ATS 2001 for the management of adults with community-acqulred pneumonia, 42 patients with severe pneumonia were enrolled in our hospital in 2004. Results Among the 42 severe pneumonia patients, there were 24 male and 18 female patients. The ages ranged from 22 to 99 years. The mean age was （68.3 ± 16. 8） years. The mean age for the died patients and the survivors were （ 74. 3 ± 12. 2 ） years （ 31 patients ） and （ 51.4 ± 18. 9 ） years （ 11 patients）, respectively （ t =4. 85 ,P 〈 0.05 ）. The ages in the died were generally older than those of the survived. The mortalities of insufficient nutrient-supporting treatment group and sufficient nutrient-supporting treatment group were 82. 8% （24/29）and 53. 8% （7/ 13 ） respectively, with significant difference between them （X2 = 3.851 ,P 〈 0. 05 ）. Conclusion Age is a risk factor for death of severe pneumonia in old people and sufficient nutrient-supporting treatment can reduce the mortality of severe pneumonia.
出处
《实用医院临床杂志》
2007年第1期38-40,共3页
Practical Journal of Clinical Medicine
关键词
重症肺炎
死亡危险因素
病死率
营养支持治疗
Severe pneumonia
Risk factor for death
Mortality
Nutrient supporting treatment
