慢性肾功能不全并发社区获得性肺炎的临床特点分析

发布时间：2018-10-10 16:00

【摘要】：目的通过对慢性肾功能不全(CKD)并发社区获得性肺炎(CAP)患者的临床资料进行分析,提高对该疾病临床特点的认识。方法选择2006~2015年在重庆市第九人民医院呼吸内科确诊CAP的216例患者,其中并发CKD的患者有116例(并发组),对照组100例患者的临床资料,对CKD并发CAP的临床特点进行分析。结果并发组与对照组临床症状比较:咳嗽(61例∶77例)、咳痰(31例∶62例)、发热(25例∶52例)、胸痛(0例∶26例)、纳差(13例∶0例),其差异均有统计学意义(P0.05);呼吸困难(26例∶11例,P=0.026)、恶心呕吐(10例∶0例,P=0.002)、咯血(0例∶7例,P=0.003)为主要表现;CURB-65≥2分(64例∶8例,P0.001),辅助检查:白细胞(WBC)10×10~9/L(44例∶52例,P=0.037)、胸腔积液(65例∶12例,P0.001)、低蛋白血症(57例∶36例,P=0.051)、贫血(107例∶20例,P0.001)。结论 CKD并发肺部感染患者临床表现不典型,可以消化道症状为主,多并发高血压、冠心病等基础疾病,病情更严重,易并发贫血及胸腔积液。
[Abstract]:Objective to analyze the clinical data of patients with chronic renal insufficiency (CKD) complicated with community-acquired pneumonia (CAP). Methods from 2006 to 2015, 216 patients with CAP were diagnosed in Department of Respiratory Medicine, Ninth people's Hospital of Chongqing, including 116 patients complicated with CKD (complicated group) and 100 patients in control group. The clinical characteristics of CKD complicated with CAP were analyzed. Results the clinical symptoms of the complicated group were as follows: cough (61 cases: 77 cases), expectoration (31 cases: 62 cases), fever (25 cases: 52 cases), chest pain (0 cases: 26 cases), anorexia (13 cases: 0 cases). Difficult (26: 11, Pu 0.026), nausea and vomiting (10: 0, P0. 002), hemoptysis (0: 7, P0. 003), CURB-65 鈮，

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