肺癌病人医院内获得性肺炎34例临床分析

Clinical analysis of 34 cases of lung cancer complicated with hospital acquired pneumonia

目的 探讨肺癌病人医院内获得性肺炎 (HAP)的病原菌及其药敏情况 ,正确选择抗生素。方法 对 34例肺癌病人合并HAP进行回顾性分析。结果 38株病原菌中 ,革兰阴性杆菌 32例 (84 2 1% ) ,其中大肠埃希氏菌 9株 ,铜绿假单胞菌 8株 ,肺炎克雷伯氏杆菌 8株。阿米卡星、头孢他啶和头孢哌酮 +舒巴坦对上述三种菌株敏感性较高。结论 明确肺癌病人HAP的病原菌及其药敏结果 ,可指导临床合理应用抗生素。

Objective To analyze the pathogenic bacteria species isolated from 34 cases of lung cancer complicated with hospital acquired pneumonia and the results of antibacterial sensitivity test to select antibiotics correctly.Methods Retrospective survey were carried out in 34 patients of lung cancer complicated with hospital acquired pneumonia.Results Among 38 strains,32 strains were Gram-negative bacilli(84.21%),including 9 strains of escherichia coli,8 strains of pseudomonas aeruginosa and 8 strains of bacillus canalis capsulatus.These three kinds of bacteria were highly sensitive to amikacin,seftazidime and cefoperazone+sulbactam.Conclusion It is beneficial for guiding clinical teatment to recognize species and antibacterial susceptibility test of pathogenic bacteria in cases of lung cancer complicated with hospital acquired pneumonia.