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|本期目录/Table of Contents|

慢性肺心病急性加重诱因及细菌感染临床分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2006年第5期
页码:
565-567
栏目:
临床研究
出版日期:
2006-10-25

文章信息/Info

Title:
Clinical analysis of causative factors and bacterial infection in acute of chronic pulmonary heart disease
作者:
祝新民1; 陈卫强2; 寿丽华1; 陈培峰1; 许坚红1
诸暨市人民医院呼吸科，浙江 诸暨311800；2.第四军医大学西京医院呼吸内科,陕西 西安 710032
Author(s):
ZHU Xin-min1;  CHEN Wei-qian2;  SHOU Li-hua1;  CHEN Pei-feng1;  XU Jian-hong1
1.Department of Respiratory Diseases, Zhuji People’s Hospital, Zhuji, Zhejiang 311800, China; 2.Department of Respiratory Diseases, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi 710032, China
关键词:
肺心病; 感染
Keywords:
pulmonary heart disease;  infection
分类号:
R541. 5
DOI:
-
文献标识码:
A
摘要:
目的 探讨肺心病急性加重的诱发因素，分析细菌学感染特征。方法 选择呼吸科资料完整的肺心病急性加重期患者85例,按临床资料进行诱因分析，并对痰培养结果进行初步分析。结果 以感染为诱因占66% ,其他诱发因素包括劳累、气胸、镇静剂使用等。城镇居民和农村居民感染率分别为64％和68％，无显著差异。冬春季节和夏秋季节感染率分别为76％和50％（P<0.05）。感染患者细菌培养结果以革兰氏阴性杆菌为主 ,占总数的50%。结论 感染是诱发肺原性心脏病急性加重的重要因素，冬春季节是感染高发季节，革兰氏阴性杆菌感染比例较高。
Abstract:
AIM To investigate the causative factors and characteristics of bacterial infection in acute exacerbation of chronic pulmonary heart disease. METHODS The clinical data of 85 patients with acute exacerbation of chronic pulmonary heart disease were studied and the characteristics of the bacterial infection in the sputum culture were analyzed. RESULTS Among the subjects under study, 65.9％ (56/85) of the causative factors of acute exacerbation was related to the bacterial infection. The infection rate of winter and spring was higher than that in summer and autumn （P<0.05）. No significant difference was found related to the living areas of the patients. The dominant bacteria was gramnegative (G) bacilli（50％）and Gram positive (G+) bacteria accounted for 31%. CONCLUSION Bacterial infection is the major causative factor for patients with acute exacerbation of chronic pulmonary heart disease and Gramnegative bacteria is the dominant pathogenic bacteria

参考文献/References

［1］ de la Iglesia F, Valino P, Pita S, et al. Factors predicting a hospital stay of over 3 days in patients with acute exacerbation of chronic obstructive pulmonary disease［J］. J Intern Med,2002,251(6):500-507.

［2］ 贝政平. 现代临床医学诊断标准丛书: 内科疾病诊断标准［M］. 北京:科学出版社， 2001：127.

［3］ 温月发. 55例肺心病急性加重期临床分析［J］. 河北医学,2000,6(6):542-543.

［4］ Almagro P, Barreiro B, Ochoa de Echaguen A, et al. Risk factors for hospital readmission in patients with chronic obstructive pulmonary disease［J］. Respiration,2006,73(3):311-317.

［5］ 张海明，叶燕明. 老年慢性肺心病急性加重期合并多脏器衰竭病因分析和防治探讨［J］. 医学理论与实践,2004,17(6):623-625.

［6］ Eriksen N, Hansen EF, Munch EP, et al. Chronic obstructive pulmonary disease. Admission, course and prognosis［J］. Ugeskr Laeger,2003,165(37):3499-3502.

备注/Memo

备注/Memo:
收稿日期：2006-06-26.作者简介：祝新民，主任医师 Tel：（0575）7173925 Email：Zhuhangyan@yahoo.com.cn
更新日期/Last Update: