273 cases of community-acquired pneumonia Diagnosis and Treatment.docVIP

 PAGE \* MERGEFORMAT 6 273 cases of community-acquired pneumonia Diagnosis and Treatment [Keywords:] community-acquired pneumonia, risk factors Community-acquired pneumonia (CAP) refers to hospital suffering from inflammation of the lung parenchyma (including the broad sense of the alveolar wall interstitial lung inflammation), including infection with a clear incubation period of pathogens in the hospital an average incubation period after the onset of pneumonia. CAP high incidence of a wide range of age, most CAP conditional medical community can be effective treatment, but the CAP remains a serious impact on human health, common diseases, is one of the common causes of hospitalization. This paper reviews analysis of 273 patients in our hospital clinical data of patients with CAP, analysis of risk factors for the prognosis of CAP. 1 Clinical data 1.1 General information on 273 cases of patients, 164 cases of male and female 109 cases, aged 11 to 86 years old, average 54.24 years old. In whichgt; 53 patients 65 years of age, 65 years, 220 cases. Diagnostic criteria are in line with CAP [1]. 1.2 in 273 cases of fever clinical manifestations 198 (72.53%), chest pain 204 cases (74.72%), cough 215 cases (78.75%), expectoration 156 (57.14%), dyspnea 123 cases (45.05%), lung rales 94 cases (34.43%), lung breath sounds weak in 81 cases (29.67%). 1.3 in 273 cases of laboratory tests of blood WBCgt; = 10 109 / L were 186 cases (68.13%), lt;4 109 / L were 59 cases (21.61%). Lung X-ray examination showed sheet, patch or interstitial-like changes in the shadow of invasive 105 cases (38.46%), pleural effusion in 26 cases. All sputum specimens from patients mouth, no sputum patients inhaled hypertonic saline sputum sent culture guide . In the hospital the same day or the next morning the specimens were taken, the pathogen distribution: Mycoplasma pneumoniae in 89 cases (32.60%), Streptococcus pneumoniae, 31 patients (11.36%), Haemophilus influenzae in 2