78例支气管扩张症急性加重患者临床分析

Clinical features of the 78 patients with brochiectasis in acute exacerbation

目的研究支气管扩张症急性加重患者主要临床表现、CT评分、病原菌分布。方法 2007年4月~2008年3月在四川大学医院就诊住院的78例支气管扩张症急性加重患者的临床资料。根据其是否合并其他系统合并症将其分为单纯支扩组,合并症组。根据CT评分系统进行支扩分布范围评分、行痰细菌及真菌学检查。比较两组患者在临床表现、CT评分、细菌感染率方面的差异。结果两组患者在临床表现、反映病变范围的CT评分均无明显差异。存在合并症组患者痰培养阳性率（53.85%）,与单纯支扩组（46.15%）比较,差异无统计学意义（P〉0.05）。在有合并症组患者中,其混合感染率（19.23%）较单纯支扩组（3.85%）明显增高,差异具有统计学意义（P〈0.05）。结论支扩患者中,存在合并症患者发生混合感染几率较单纯患者增高。

Objective To investgate the clinical features of two different type of bronchiectasis in acute exacerbation.Methods Included in April 2007 to March 2008,Sichuan University hospital in hospitalized bronchiectasis 78 cases of patients with acute exacerbation of the clinical data.According to whether the merger of other systems will be divided into two groups：simple group and the existence of complications group.According to CT scoring system for supporting extended range score,the etiology of sputum examination.Comparison of the clinical performance of two groups of patients,CT score,the difference between bacterial infection.Results Two groups of patients in the clinical performance of the scope of CT lesion had no significant difference in score.The existence of complications in patients with sputum culture positive rate（53.85%）,and simply extend support group（46.15%）,the difference was statistically unsignificant.There are complications in the patients group,the mixed infection（19.23%）than a simple branch expansion group（3.85%）was significantly increased,with statistically significant differences.Result the existence of other system complications would increased mixed infection risk than a simple patient.