院内和社区获得性军团菌肺炎71例临床分析  

Clinical Analysis of 71 Cases of Nosocomial Acquired Legionella Pneumonia and Communityacquired Legionella Pneumonia

作　　者：苏文娟[1] 陈秉良[1] 关绍晨[1] 党斌温[1] 胡虹英 李小莹[1] 涂国红 

机构地区：[1]首都医科大学宣武医院内科

出　　处：《首都医科大学学报》1999年第2期113-115,共3页Journal of Capital Medical University

摘　　要：为提高对院内军团菌肺炎（ＮＡＬＰ）和社区获得性军团菌肺炎（ＣＡＬＰ）的认识，分析了１８例ＮＡＬＰ和５３例ＣＡＬＰ。结果表明，ＮＡＬＰ和ＣＡＬＰ均多见于５０岁以上男性，临床表现和胸部Ｘ线特征相似，呼吸衰竭是两者最常见的并发症。ＮＡＬＰ多有危险因素，病死率明显高于ＣＡＬＰ。ＮＡＬＰ感染军团菌以ＬＰ１（嗜肺军团菌血清Ⅰ型）、ＬＰ６多见，而ＣＡＬＰ以ＬＰ１２多见。cases of nosocomialacquired Legionella pneumonia(NALP) and communityacquired Legionella pneumonia (CALP) were analyzed to improve the knowledge about them. The result showed that NALP and CALP were both frequent in male aged over 50, the clinical manifestation and chest radiographic finding were similar, the most frequent complication in both groups was respiratory failure. There were significant difference in risk factor, Legionella tape, mortality rate between NALP and CALP. Risk factors and mortality rate were higher in NALP group than in CALP. Legionella pneumophila in NALP is often LP1LP6 and in CALP is LP12.

关 键 词：军团菌肺炎 院内感染 社区获得性肺炎 肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]