铜陵地区成人社区获得性肺炎临床特征

Clinical analysis of community acquired pneumonia in adult patients in Tongling

目的了解铜陵地区社区获得性肺炎的临床特征。方法调查2006年1月至2009年1月铜陵地区272例社区获得性肺炎的临床资料。结果272例CAP患者中男155例(57.0%),女117例(43.0%),平均年龄(55.9±13.5)岁。发热者183例(67.3%);咳嗽咳痰206例(75.7%);咯血57例(21.0%);胸痛31例(11.4%);胸闷25例(9.2%);外周血WBC>10×109/L者68例(25.0%),<4.0×109/L者21例(7.7%);有肝功能损害45例(20.2%);存在基础疾病者63例(23.2%);病变局限于一个肺叶或肺段者184例(67.6%),双侧或多叶受累者88例(32.4%);合并单侧或双侧胸腔积液者43例(15.8%);重症肺炎13例(4.8%);入选前使用抗菌药物87例(32.0%);272例CAP患者共分离细菌66株,其中肺炎链球菌和肺炎克雷伯杆菌是最常见的病原体。结论CAP临床表现不典型,在临床工作中应高度重视,尽早进行胸片或肺CT检查,以明确诊断。

Objective To investigate the clinic characteristics of community acquired pneumonia in adult patients in Tangling. Methods Analysis was performed on adult patients with CAP in Tongling between January of 2006 and January of 2009. Results A total of 272 patients with a mean age of 55.9 （ ± 13.5 ） years were enrolled. Of the 272 patients, the clinical characteristics was as follows： fever of 183 （67.3 % ）, cough and expectoration of 206 （75.7 % ）, hemoptysis of 57 （21.0% ）, chest pain of 31 （ 11.4% ） ; dyspnea of 25 （9. 2% ） ; WBC 〉 10 × 10^9/L of 68 （25.0%） , 〈4. 0 × 10^9/L 21 （7.7%） ; severe community-acquired pneumonia of 13 （4.8%） ; Pathogens were identified in 66 patients. The most frequent pathogen was S. pneumoniae and K. pneumoniae in adult patients in Tongling. Conclusion The clinic manifestations of community acquired pneumonia are nonspeeifie. CAP can be identified early by lung features.