社区获得性肺炎危险因素临床分析

目的探讨社区获得性肺炎（community—acquired pneumoniaCAP）患者死亡的高危因素。提高治愈率。方法分析2003年6月～2006年12月93例住院CAP患者临床资料，并对两组数据进行相关性因素分析。结果死亡组患者感染肺叶数、白细胞、吸毒史、脑血管意外病史、氧合指数等指标与缓解组比较，具有显著性差异（P〈0．05），而两组患者年龄、性别、白蛋白、PH值、吸烟喝酒等指标无显著性差别（P〉0．05）。结论综合评价患者病史，加强监测对CAP患者预后有重要指导意义。

Objective to investigate the high risk factors of patients with community-acquired pneumonia, to improve the cured rate of the community-acquired pneumonia. Methods Clinical data of 93 cases of patients with community-acquired pneumonia were retrospectively analyzed. Results 19 cases died and 74 cases discharged from hospital. There were significant difference in the number of inflammation in the lobes of the lung, leukocytes, oxygenation index, medical record of drug abuse, medical record of cerebrovascular accident between death group and relieve group（ P 〈 0.05 ）. But there were no significant differences in average age, sex, blood pH, albumin, the habit of smoking and drinking, the time interval between mobility to hospitalization, between death group and relieve group（P 〉 0. 05 ）. Conclusion It is benefit for us pay more attention on the patients with CAP and their medical records.