肺癌患者并发医院获得性肺炎的临床分析

Clinical Analysis of Patients with Lung cancer Complicated with Pneumonia

【目的】探讨肺癌患者医院获得性肺炎（HAP）的临床特点。【方法】对本院收治的198名肺癌患者并发HAP70例的治疗因素、临床分期、年龄及白细胞计数、病原菌、药敏试验结果及抗生素应用情况进行回顾性分析。【结果】高龄、临床分期晚、化疗、白细胞降低是肺癌并发HAP的危险因素。【结论】肺癌患者并发HAP的危险因素多，应加强预防，重视细菌培养和药敏试验，合理使用抗生素。

[Objective]To explore the clinical features of patients with lung cancer complicated with hospital acquired pneumonia. [Methods] Seventy cases of hospital acquired pneumonia in 198 cases with lung cancer were investigated retrospectively. The treatment factors, clinical stages, age, leucocyte count, pathogenic bacteria, drug sensitivity test and antibiotic usage during 2007-2008 were analyzed. [Results] Advanced age, chemotherapy and decreased white cell were dangerous factors of lung cancer complicated with hospital acquired pneumonia. [Conclusion] There are many factors of hospital acquired pneumonia in the patients with lung cancer. To improve the patients＇ life quality, the prevention should be strengthened, and drug sensitivity test and the culture of bacteria should be emphasized, and antibiotics should be used rationally.