320例儿童重症肺炎预后相关因素分析

Analysis of prognostic factors of severe pneumoniain 320 children

目的通过对近4 a郑州市第一人民医院儿童重症肺炎预后相关因素的分析,以期对重症肺炎患儿早期识别,及时诊断与治疗,降低死亡率。方法对2010年1月至2014年10月就诊于郑州市第一人民医院儿科的320例重症肺炎患儿的预后相关因素进行回顾性分析。结果 320例儿童重症肺炎患儿中,治疗有效的有281例(占87.8%),治疗无效的有39例(占12.2%)。其中,年龄、先天性心脏病、气道畸形、并发症及营养不良与重症肺炎患儿的治疗有效率密切相关。结论年龄、是否合并先心、是否存在气道畸形、是否存在并发症及营养不良是影响重症肺炎患儿预后的独立危险因素。

Objective To analyze the prognostic factors of children with severe pneumonia in recent 4 years, with a view to early identification and timely diagnosis and treatment of children with severe pneumonia, to reduce mortality. Methods The prognostic factors of 320 children with severe pneumonia who were treated in the First People＇ s Hospital of Zhengzhou City from January 2010 to October 2014 were retrospectively analyzed. Results Among the 320 cases of children with severe pneumonia, there were 281 eases （87.8%） with effective treatment and 39 cases （ 12.2% ） with no treatment. Among them, age, congenital heart disease, airway deformity, complications and malnutrition were closely related to the treatment efficiency of severe pneumo- nia. Conclusion Age, whether the merger of the congenital heart disease, the existence of airway malformations, the presence of complications and malnutrition is the impact of severe pneumonia in children with independent prognostic risk factors.