摘要
目的了解重症社区获得性肺炎的临床流行病学特点、疗效和预后。方法回顾22例重症社区获得性肺炎住院患者的临床资料。结果治愈19例,死亡3例,治疗有效率86.4%,死亡率13.6%。死亡原因分别为合并肾功能衰竭、严重免疫力低下性疾病。结论重症社区获得性肺炎常伴呼吸衰竭,合并症多,机体免疫力低下,病原体检测阴性率高,及时采取经验性降阶梯抗感染、免疫增强治疗及提高病原体检测阳性率是提高治愈率的关键,免疫力低下相关性感染预后差。
Objective To understand the clinical epidemiological characteristics,therapeutic effect and prognosis of severe community-acquired pneumonia.Methods Clinical data of 22 inpatients with several community-acquired pneumonia were retrospectively analyzed.Results 19 patients were cured and 3 patients died.The effective rate and the mortality rate were respectively 86.4% and 13.6%.The causes of death were renal failure,severe low level of immunity.Conclusion Severe community-acquired pneumonia is often complicated by respiratory failure or other complications.Positive detection rate was low.To increase the treatment effect,attention should be given to de-graded anti-infection,enhancement of immunity and increase of positive detection of pathogen.Unsatisfactory prognosis occurred most among low-immunity-related infection patients.
出处
《临床肺科杂志》
2008年第9期1107-1108,共2页
Journal of Clinical Pulmonary Medicine
关键词
重症社区获得性肺炎
临床分析
预后
severe community-acquired pneumonia
clinical analysis
prognosis
