急诊肺炎患者发生ALI/ARDS危险因素分析

Risk factors analysis of the occurrence of ALI/ARDS in emergency patients with pneumonia

目的:探讨急诊肺炎患者发生ALI/ARDS的危险因素。方法:通过回顾性分析180例急诊肺炎患者临床资料对各项因素进行单因素分析及Logistic回归分析,观察患者继发ALI/ARDS的危险因素。结果:发生ALI/ARDS的患者共63例,发生率35%。单因素分析显示年龄、初始吸氧浓度、APACJEⅢ评分、低蛋白血症为急诊肺炎患者发展为ALI/ARDS的危险因素(P<0.05)。Logistic回归分析显示,初始吸氧浓度、APACJEⅢ评分、年龄为ALI/ARDS发生的独立危险因素。结论:初始吸氧浓度>2 L/min和APACJEⅢ评分≥3.797分、年龄≥60岁是急诊肺炎患者发生ALI/ARDS的高危因素,应做到早期诊治。

Objective：To explore the risk factors of ALI/ARDS in emergency patients with pneumonia. Methods：Retrospective-ly analyze of clinical data of 180 cases of emergency patients with pneumonia,with single factor analysis and Logistic regression analysis observe the risk factors of ALI/ARDS in emergency patients with pneumonia. Results：ALI/ARDS occurred in 63 patients,the incidence was 35%. Single factor analysis showed that age,initial concentration of oxygen inhalation,APACJEⅢscore and hypoproteinemia were risk factors of the emergency patients with pneumonia for the development of ALI/ARDS （P〈0. 05）. Logistic regression analysis showed that initial oxygen concentration,APACJE Ⅲ score and age were independent risk factors for ALI/ARDS. Conclusion：The initial oxy-gen concentration 〉2L/min and APACJEⅢscore≥3. 797 and age≥60 years were the high risk factors of ALI/ARDS,early diagnosis and treatment should be done.