101例肺炎死亡病例分析

Analysis of 101 Cases of Pneumonia Deaths

目的:探讨成年肺炎死亡病例的特征,以提高救治率。方法:利用医院住院病案管理系统软件及人工收集我院2008年1月1日-2011年4月26日的全部成年肺炎死亡病例临床资料,共计101例,对其进行回顾性分析。结果:101例观察病例中男性共计71例(占70.30%),女性共计30例(占29.70%),大于65岁者共计95例(占94.06%),44-58岁者共计6例(占5.9%),平均年龄80.30岁。单侧肺部病变22例(占21.78%),双侧肺部病变79例(占78.22%),观察病例均伴有多种基础病及并发症,并且多数病例存在多种致病菌感染及多重耐药菌感染。结论:成年肺炎死亡的发生与患者年龄(65岁以上)、性别(男性)、双侧肺部病变、基础病及并发症、多种致病菌感染及多重耐药菌感染等因素密切相关。

Objective： In order to improve its recovery rate, investigate the characteristics of Adult pneumonia deaths. Methods： Retrospective analysis to 101 eases of adult pneumonia deaths＇ clinical data from Hospital Medical Records Management System and manual collection of our hospital from January 1, 2008 to April 26, 2011. Results： From 101 eases observed, there is 71 male patients （accounting for 70.30%）,30 female patients （29.70%）; 95 eases with age more than 65 years （94.06%）, 6 cases of ages between 44 to 58 years old （5.9%）, The average age of 80.30 years.22 cases （accounting for 21.78%） with unilateral lung disease, 79 cases （accounting for 78.22%） with bilateral lung lesions; observed cases were associated with a variety of underlying diseases and complications, and in most cases the presence of multiple pathogens infection and multiple drug-resistant bacteria infection. Conclusion： Adult pneumonia deaths occurred in patients with age （65 years）, gender （male）,bilateral pulmonary lesiuns,underlying diseases and complications, Nosocomial infections,a variety of pathogenic bacteria infection and multiple drug-resistant infections and other factors are closely related.