社区获得性肺炎53例临床分析  

CLINICAL ANALYSIS OF 53 CASES COMMUNITY ACQUIRED PNEUMONIA

作　　者：曾瑜[1] 袁建章[1] 汪得喜[1] 潘海燕[1] 

机构地区：[1]广州市红十字会医院,广东广州510220

出　　处：《现代医院》2006年第11期36-37,共2页Modern Hospitals

摘　　要：目的调查53例社区获得性肺炎的临床特点及病原学分布情况。方法采用回顾性的调查方法对53例痰培养阳性的社区获得性肺炎患者进行分析。结果60岁以上的老年患者居多;53例患者病原学检测阳性中副流感嗜血杆菌21例(39·6%)。结论嗜血杆菌属是社区获得性肺炎主要致病菌之一。60岁以上老年患者合并慢性基础病特别是COPD较多,且革兰氏阴性菌检出比例上升。抗生素的选择基本合理。Objective To investigate the clinical features and the etiological distribution of community acquired pneumonia（CAP）. Methods Analyzed 53 cases sputum culture positive CAP by retrospective ascertainment method. Results Most were senile patient older than 60 years, and of which 21 cases （39.6% ,21/53 ） was haemophilus parainfluenzae positive in etiology. Conclusion Hemophilus was one of the major pathogenic bacteria of CAP. The majority patients was senile patient older than 60 years and most of them complicated with chronic ground disease especially COPD, at the same time, the detective positive ratio of gram - negative bacteria was upgrade in these patients. The choices of antibiotics were reasonable on the whole.

关 键 词：社区获得性肺炎 病原体 细菌 老年 

分 类 号：R563.1[医药卫生—呼吸系统]