煤工尘肺葡萄球菌肺炎38例临床分析  

Clinical analysis for 38 cases of nosocomial staphylococcal pneumonia in patients with coal workers' pneumoconiosis

作　　者：高劲松[1] 汪超杰[1] 韩素敏[1] 

机构地区：[1]安徽省淮北矿务局职业病防治院,安徽淮北235000

出　　处：《中国工业医学杂志》2001年第3期133-135,共3页Chinese Journal of Industrial Medicine

摘　　要：目的　探讨煤工尘肺葡萄球菌肺炎发病率、临床特征、预后。方法　对我院 3 8例 44例次煤工尘肺葡萄球菌肺炎进行了回顾性分析。结果　尘肺住院病人葡萄球菌肺炎发病为 1 16% ,病死率 13 15 % ,经验用药与药敏符合率 46 2 %。结论　煤工尘肺院内葡萄球菌肺炎发病率高 ,耐药情况重 。Objective To understand the incidence,clinical features and prognosis of nosocomial staphylococcal pneumonia in patients with coal workers pneumoconiosis.Methods Thirty eight hospitalized cases,with 44 episodes,of nosocomial staphylococcal pneumonia complicated in the patients of coal workers pneumoconiosis were analyzed retrospectively.Results Incidence of nosocomial staphylococcal pneumonia was 1 16% in the patients with coal workers pneumoconiosis,with a case fatality ratio of 13 15%.Forty four strains of staphylococcus were isolated from 166 specimens.The patients were treated with antibiotics in empirical use,only 46 2% in coincidence with the results of sensitive tests.Conclusions Patients with coal workers pneumoconiosis tended to be complicated with nosocomial staphylococcal pneumonia during their hospitalization,which was more resistant to a few antibiotics with a poor prognosis.

关 键 词：煤工 尘肺 葡萄球菌 院内感染 肺炎 抗生素 耐药性 

分 类 号：R135.2[医药卫生—劳动卫生] R563.1[医药卫生—公共卫生与预防医学]