金黄色葡萄球菌肺炎30例临床分析

Analysis of Clinical Characteristics of 30 Patients with Staphylococcus Aureus Pneumonia

目的:通过分析对比不同途径导致的金黄色葡萄球菌肺炎发生的高危因素、临床特点和治疗过程,提高对金黄色葡萄球菌肺炎的认识。方法:对30例金黄色葡萄球菌肺炎患者的临床资料进行回顾性分析。结果:吸入性和血源性金黄色葡萄球菌肺炎在诱因、临床表现、X线特点等多方面都有不同的特点。医院内获得性金黄色葡萄球菌肺炎的发生与侵入治疗、抗菌素的应用等医源因素相关,且MRSA的发生率明显升高。结论:金黄色葡萄球菌肺炎预后差、死亡率高,应结合其临床特点早期明确诊断;早期、大剂量应用敏感抗菌素是治疗关键,对危重患者,尚应联合用药。此外,尚须重视院内感染的防范。

Objective: To analyze the risk factors, chlinical characteristics and treatment of staphylococcus aureus pneumonia caused by different ways. Methods: The clinical data of 30 cases with staphylococcus aureus pneumonia was analyzed retrospectively. Results: To compare aspiration pneumonia with hematogenous pneumonia, it shows that different features were found in aspect of risk factor, clinical manifestation and X-ray. Nosocomial pneumonia is associated with some hospital factors such as invasive treatment,use of antibiotic.The rate of MRSA is higher in nosocomial pneumonia. Conclusions: The key of treatment is to make a early diagnosis,use sensitive antibiotics.Combination use of antibiotics is important for the severe cases.Pay more attention to the prevention of Nosocomial pneumonia.