隐匿性肺炎的临床特点分析

发布时间：2018-03-09 02:27

本文选题：隐匿性肺炎　切入点：临床特点　出处：《中华医院感染学杂志》2014年07期 　论文类型：期刊论文

【摘要】：目的分析与总结隐匿性肺炎的临床特点,为临床诊断及治疗提供依据。方法回顾性分析2008年6月-2012年6月64例隐匿性肺炎住院患者的临床资料,分析其临床发病年龄、季节、首发症状、实验室检查、放射学检查以及治疗等特点,采用SPSS 13.0统计软件处理,计量资料以均数t表示;计数资料的组间比较采用χ2检验。结果流行病方面,男性39例占60.94%,女性25例占39.06%,年龄主要集中在中老年(40岁)51例占87.89%,发病季节则集中在夏秋两季42例占65.63%,经统计分析,性别、年龄以及发病季节的差异均有统计学意义(P0.05);临床表现方面,胸痛为最常见的首发症状,35例占54.69%,血白细胞不增高者38例占59.38%,胸部CT检查阳性47例占73.44%,经统计分析,临床表现、血白细胞以及特殊检查的差异均有统计学意义(P0.01)。结论隐匿性肺炎的发病对象主要系中老年男性患者,发病季节集中在夏秋两季;胸痛为常见的首发症状;白细胞检查多不增高;胸部放射学检查CT明显优于X线,治疗上以针对革兰阴性杆菌的抗菌药物为主。
[Abstract]:Objective to analyze and summarize the clinical features of occult pneumonia and to provide evidence for clinical diagnosis and treatment. Methods the clinical data of 64 cases of occult pneumonia from June 2008 to June 2012 were analyzed retrospectively. The characteristics of initial symptoms, laboratory examination, radiology and treatment were processed by SPSS 13.0 statistical software, and measured data were expressed as mean t, 蠂 2 test was used for comparison of counting data. There were 39 males (60.94m) and 25 females (39.06g). The age was mainly concentrated in the middle and old age, 40 years old, 51 cases (87.89), and the onset season was concentrated in the summer and autumn seasons (42 cases, 65.63 cases). In clinical manifestations, chest pain was the most common initial symptom in 35 cases (54.69%), leukocytosis in 38 cases (59.38%) and chest CT examination in 47 cases (73.44%). Conclusion the incidence of occult pneumonia is mainly in middle-aged and aged male patients, the onset season is concentrated in summer and autumn, chest pain is the first symptom, white blood cell examination is not increased; Ct was superior to X-ray in chest radiologic examination, and antimicrobial agents against Gram-negative bacilli were the main treatment.
【作者单位】：广西医科大学第一附属医院急诊科;广西医科大学第一附属医院呼吸科;
【基金】：广西自然科学基金项目(2013GXNSFBA019163) 广西医科大学青年基金项目(GXMUYSF201216)
【分类号】：R563.1

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