铜绿假单胞菌肺部感染106例的临床研究
铜绿假单胞菌；肺部感染；临床分析,,铜绿假单胞菌；肺部感染；临床分析,【摘要】,【关键词】,1对象与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨铜绿假单胞菌肺部感染的临床特点及防治措施。方法 分析106例铜绿假单胞菌肺部感染的临床资料。结果 79.2%的患者年龄>70岁，大多为医院内感染(91.5%)，均有基础疾病。患者均有咳嗽，73.6%患者咳黄绿色痰，92.5%患者发热，X线胸片显示两肺下野炎性阴影增多(78.3%)，45.3%的患者外周血白细胞不升高。35.0%患者合并其他细菌和真菌感染。亚胺培南、头孢吡肟等抗菌药物耐药率较低。痊愈率86.8%，病死率5.6%。结论 铜绿假单胞菌肺部感染患者年龄大，均有基础疾病，医院内感染多，临床表现不典型，治疗困难，易反复发作，临床医师应高度重视。【关键词】 铜绿假单胞菌；肺部感染；临床分析
Clinical analysis of 106 patients with pulmonary infection caused by P.seudomonas aeruginosa
TANG Jihong，GU Zongyuan，WANG Lei.Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine，Shanghai 200062，China
【Abstract】 Objective To explore the clinical characteristics and the measure of prevention and treatment with pulmonary infection caused by P.aeruginosa.Methods We analysed the clinical data with pulmonary infection caused by P.aeruginosa.Results In 79.2% of the patients were more than 70 years.There were the most of them (91.5%) with nosocomial infection.There all were foundational disease in 106 patients.The colour of sputum were green and yellow in 73.6% of cases.There were fever in 92.5% of cases.78.3% of the focuses were below the lungs at the radiograph.The white blood cell count were normal in 45.3% of the cases.The 35.0% of the cases complicated by other bacteria and fungus infection.The bacterial resistance rates of impenem and cefepine were lower.The cure rate was 86.8%.The mortality rate was 5.6%.Conclusion The patients with pulmonary infection caused by P.aeruginosa were old age ......
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