社区获得性耐甲氧西林金黄色葡萄球菌肺炎临床分析  

Clinical analysis of community-acquired pneumonia due to methicillin-resistant Staphylococcus aureus

作　　者：栾巍[1] 赵立强[1] 

机构地区：[1]中国人民解放军第253医院呼吸内科,呼和浩特010051

出　　处：《国际呼吸杂志》2012年第2期93-95,共3页International Journal of Respiration

摘　　要：目的探讨社区获得性耐甲氧西林金黄色葡萄球菌肺炎的临床特点。方法对16例确诊病例的临床资料进行回顾性研究。结果16例确诊病例，13例无基础性疾病，9例合并休克，7例合并急性呼吸窘迫综合征，4例死亡；死亡者从出现症状人院至死亡平均时间为（5．9±6．1）d，生存者平均住院时间为（21．6±11．1）d；8例有流感样症状，7例有咯血，5例有白细胞减少，16例C-反应蛋白明显升高，平均为（211．1±121．9）mg／L，13例有多肺叶病变，9例有胸腔积液。结论社区获得性耐甲氧西林金黄色葡萄球菌肺炎病情凶险，应提高对其临床特点的认识，优化综合治疗方案。Objective To explore the clinical features of community-acquired pneumonia （CAP） due to methieillin-resistant Staphylococcus aureus （MRSA）. Methods The clinical data of 16 patients with CAP due to MRSA were retrospectively analyzed. Results Of the 16 cases,13 had no basic diseases,nine combined with shock, seven had combined with acute respiratory distress syndrome, four died. Short duration of symptom onset to death was （5.9 4-6.1） days, and prolonged hospital admissions was （21.6-b 11.1） days. Eight had influenza like symptoms, seven had hemoptysis, five had leucopenia, C-reactive protein of all cases was significantly elevated, for an average of （211.1± 121.9） mg/L, 13 had multiple pulmonary lesions,nine had pleural effusion. Conclusions CAP due to MRSA was a serious disease, we should improve the recognition of the clinical characteristics, and optimize comprehensive treatment scheme.

关 键 词：耐甲氧西林金黄色葡萄球菌 社区获得性肺炎 杀白细胞素 临床特点 

分 类 号：R563.1[医药卫生—呼吸系统]