慢性阻塞性肺疾病合并社区获得性肺炎311例临床分析

Clinical analysis of 311 patients with COPD complicated with CAP

目的探讨慢性阻塞性肺疾病（COPD）合并社区获得性肺炎（CAP）的临床特点和发病规律，为临床治疗提供可借鉴的经验。方法对311例COPD合并CAP患者的临床诊治情况进行回顾性分析。结果311冽中男264例，女47例，年龄42—88岁，平均72．2岁，老年人易发生，有相当部分患者临床表现不典型，血象及胸片也无特异性，并发症多而严重，病死率高，积极综合治疗可降低病死率。结论COPD合并CAP常见，提高对两者合并存在的临床特点和发病规律的认识，有利于早期诊断及治疗，并改善预后。

Objective To investigate the clinical features and the morbidity rules of patients with chronic obstructive pulmonary disease（COPD） complicated with community acquired pneumonia（CAP） and to provide the good treatment experiences. Methods The clinical diagnosis and treatment of 311 patients with COPD complicated with CAP were analyzed retrospectively. Results Two hundred and sixty-four of the 311 patients were male, others female. All agaed 42 - 88 years old and the average age was 72. 2 years old. This disease was prone to occur in the elderly. Most of the patients were lack of typical clinical manifestations, hemogram and chest imaging feature. All the patients were apt to get serious complication and the fatality rate was high. It is important to take early combined therapy to reduce the fatality rate. Conclusion Since COPD with complicated CAP is common disease, Raising the awareness of the clinical features and the morbidity rules ,can contribute to diagnose and treat early and improve prognosis.