自身免疫性疾病并发重症肺炎37例临床分析  

Clinical analysis of 37 autoimmune diseases patients with severe pneumonia

作　　者：杨丰鹤[1] 邢丽华[1] 高炜[1] 高景[1] 赵世龙[1] 李静[1] 

机构地区：[1]郑州大学第一附属医院呼吸暨重症科,450052

出　　处：《中国实用医刊》2012年第12期46-48,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨自身免疫性疾病（AID）并发重症肺炎患者的，晦床特点、诊治方法及预后。方法选择2009年7月至2011年6月入住郑州大学第一附属医院呼吸暨重症科AID并发重症肺炎患者37例，回顾性分析其临床症状、体征、胸部影像学表现（X线或CT）、病原学、治疗措施及预后。结果AID并发重症肺炎患者在症状、体征、影像学及对治疗的反应方面皆有其独有的特点，37例患者治愈5例（13．6％），好转17例（45．9％），无效或因其他并发病死亡15例（40．5％）。结论AID并发重症肺炎患者病情发展迅速，预后较差。Objective To study the elinical manifestation, diagnosis, therapy and prognosis of autoimmune diseases patients with severe pneumonia. Methods Thirty-seven AID patients with severe pneumonia admitted in the first affiliated hospital of Zhengzhou university from July 2009 to June 2011 were choosed, the clinical manifestation, signs, chest imaging findings, etiologic characteris- tics, diagnosis, therapy and prognosis were retrospectively analyzed. Results The complicated symptoms, signs, imaging and response to therapy of AID patients with severe pneumonia all have their unique features. 5 patients （ 13.6% ） were cured, 17 cases（45.9% ） were improved, invalid or for other disease to death in 15 cases （40.5 % ）. Conclusions The progress AID patients with severe pneumonia illness develop rapidly, its prognosis is poor.

关 键 词：重症肺炎 自身免疫性疾病 

分 类 号：R593.2[医药卫生—内科学]