院内获得性肺炎30例临床分析  

Clinical Analysis of Hospital Acquired Pneumonia:a Report of30Cases

作　　者：徐月兰[1] 

机构地区：[1]安徽省蚌埠市第三人民医院呼吸科,233000

出　　处：《实用全科医学》2006年第2期185-186,共2页Applied Journal Of General Practice

摘　　要：目的探讨院内获得性肺炎的发病情况、发病诱因、细菌耐药性以及影响预后的因素。方法回顾性分析30例院内获得性肺炎的临床资料。结果在30例院内获得性肺炎中,痰培养阳性24例,阳性率80%,绿脓杆菌9例(30%),肺炎克雷伯杆菌8例(26.7%);药物敏感试验发现绿脓杆菌及克雷伯杆菌对多种抗生素产生耐药性增加。经综合治疗后,死亡12例(40%),治愈9例(30%),好转9例(30%)。结论院内获得性肺炎多有严重的慢性基础疾病和诱因,绿脓和克雷伯杆菌感染死亡率高,且细菌多为耐药菌株。Objective To explore the condition, the predisposing factors and the bacterial drag resistance of hospital acquired pneumonia （HAP）, and the relative factors with the prognosis. Methods The clinical data of 30 cases with HAP were analyzed retrospectively. Results The sputum culture appeared positive in 24 cases （ 80% ）. The infection rate of the pseudomonas aeruginosa and the klebsiella pneumoniae was 30% （9 cases） and 26.7% （8 cases） respectively. The drug resistance of the pseudomonas aemginosa and the klebsiells pneumoniae to a great variety of antibiotic increased. After combined therapy, 12 cases （40 % ） were dead, 9 cases （30 % ） were cured, and 9cases （30 % ） were improved. Conclusions HAP patients often have severe chronic diseases and causative factor. The death rates of the patients infected with pseudomonas aeruginosa and klebsiella pneumoniae is high, and the bacterial are mostly the drug resistant strains.

关 键 词：院内获得性肺炎 耐药性 死亡率 

分 类 号：R563.1[医药卫生—呼吸系统]