不同影像特征的煤工尘肺患者院内获得性支气管—肺感染发热症状的分布  

Distribution of Hospital-Acquired Bronchus-Pulmonary Infection among the Coalminers' Pneumoconiosis Patients with Different Image Feature

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作  者:王建国[1] 张建芳[1] 王卫[1] 奚定虎[1] 胡世平[1] 刘淳[1] 闫冰[1] 

机构地区:[1]国家安全生产监督管理总局职业安全卫生研究所,北京市102300

出  处:《职业与健康》2007年第14期1181-1183,共3页Occupation and Health

摘  要:目的了解煤工尘肺不同影像学特征对院内获得性支气管—肺感染(HAPI)临床症状发热的影响。方法采用回顾性的研究方法,观察HAPI在不同小阴影类型及尘肺期别中临床症状发热的分布特点。结果类圆形小阴影、不规则小阴影类型煤工尘肺(CWP)患者,发生HAPI时,出现发热临床症状的分布比较,差异无统计学意义,P>0.05;相同期别(Ⅰ期)CWP中,P阴影出现发热临床症状的发生率高于s阴影,P<0.05;而在Ⅱ期CWP中,u阴影出现发热临床症状的发生率分别高于q、t阴影,P<0.05;不同期别CWP患者,发生HAPI时,出现发热临床症状的分布两两间比较差异无统计学意义,均P>0.05;相同小阴影类型(q阴影)CWP中,不同尘肺期别出现发热临床症状分布两两间比较差异无统计学意义,均P>0.05。结论不同小阴影类型的CWP患者,发生HAPI时,其发热发生率有差异,在Ⅰ期CWP中,P阴影出现发热临床症状的发生率高于s阴影,在Ⅱ期CWP中,u阴影出现发热临床症状的发生率高于q,t阴影;没有观察到不同尘肺期别的CWP患者,发生HAPI时,对发热发生率有影响。[ Objective] To learn the effect of different image features of eoalminers'pneumoeoniosis on the clinical symptoms of hospital - acquired bronchus - pulmonary infection. [ Methods] Retrospective study was conducted to observe the different HAPI images and the distribution of clinical symptoms of pneumoconiosis. [ Results ] No significant difference was found between the CWP patients with round-like small image and irregular small image in the clinical fever symptoms of HAPI ( P 〉 0.05 ) ; among the CWP of grade I, the incidence of clinical fever of the P image was higher than that of S image ( P 〈0.05 ) ; in grade II of CWP, the inci- dence of clinical fever of U image was higher than that of the Q and T image( P 〈0.05 ) ; no significant difference was found between different grades of CWP ( P 〉 0.05) ; [ Conclusion ] Different HAPI images of CWP patients were not found to have any effect on the incidence of clinical fever when having HAPI.

关 键 词:煤工尘肺 发热 尘肺期别 小阴影类型 院内获得性支气管-肺感染 

分 类 号:R135.2[医药卫生—劳动卫生]

 

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