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-  2015 

呼吸重症监护室吸入性肺炎临床分析 Clinical Analysis of Aspiration Pneumonia in Respiratory Intensive Care Unit

Keywords: 吸入性肺炎,临床特征,真菌感染

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Abstract:

目的:分析呼吸重症监护室(RICU)中吸入性肺炎的临床、微生物学特点及治疗现状。方法:回顾性分析112位符合吸入性肺炎诊断标准且收入RICU的重症患者的临床及实验室资料,包括患者临床表现、基础疾病及合并症;微生物感染分析;抗生素治疗情况;以及患者转归。结果:RICU中吸入性肺炎患者年龄大于65岁的占86%;RICU中吸入性肺炎最主要的危险因素是脑出血和脑梗塞(34%);所有患者都至少伴随有一种基础疾病,53%的患者伴随有4种或4种以上基础疾病;从94名患者中共分离到128株病原菌,其中G-菌(75株)最多,而真菌(36株)紧随其后,混合感染比率高;总死亡率高(43.8%)。结论:RICU中吸入性肺炎多见于老年人,合并症多,易发生混合感染,死亡率高。治疗需重视真菌感染

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