本文選題：重癥肺炎 + 老年患者��； 參考：《中華醫(yī)院感染學(xué)雜志》2014年17期

【摘要】：目的分析老年重癥肺炎患者臨床特點(diǎn)、病原菌分布及耐藥性特點(diǎn),探討老年重癥肺炎患者死亡的危險(xiǎn)因素。方法回顧性分析2012年9月-2013年6月醫(yī)院收治的81例重癥肺炎患者的臨床資料,采用SPSS17.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果痰液標(biāo)本中共分離出病原菌110株,其中革蘭陰性菌83株占75.5%,革蘭陽性菌14株占12.7%,真菌13株占11.8%;革蘭陰性菌以銅綠假單胞菌和不動(dòng)桿菌屬最為常見,銅綠假單胞菌對(duì)慶大霉素、阿米卡星、亞胺培南/西司他丁敏感率分別為71.0%、80.6%、80.6%,不動(dòng)桿菌屬對(duì)頭孢他啶及亞胺培南/西司他丁敏感率分別為53.3%、80.0%;年齡≥65歲、累計(jì)器官≥3個(gè)是老年重癥肺炎患者死亡的危險(xiǎn)因素(P0.05)。結(jié)論對(duì)年齡65歲并有多器官功能受損的患者應(yīng)引起重視并積極綜合治療,對(duì)降低重癥肺炎病死率具有重要意義。
[Abstract]:Objective to investigate the risk factors of death in elderly patients with severe pneumonia by analyzing their clinical characteristics, distribution of pathogens and drug resistance. Methods the clinical data of 81 patients with severe pneumonia from September 2012 to June 2013 were analyzed retrospectively. SPSS 17.0 software was used to analyze the clinical data. Results A total of 110 strains of pathogenic bacteria were isolated from sputum, of which 83 were Gram-negative bacteria (75.5%), 14 Gram-positive bacteria (12.7m), 13 fungi (11.8B), and Gram-negative bacteria (Pseudomonas aeruginosa) and Acinetobacter (Acinetobacter) were the most common. The sensitivities of Pseudomonas aeruginosa to gentamicin, amikacin, imipenem / cilastatin were 71.0 and 80.6, respectively. The susceptibility rates of Acinetobacter to ceftazidime and imipenem / cilastatin were 53.3% and 80.00.The sensitivity rates of Acinetobacter to ceftazidime and imipenem / cilastatin were 53.3% and 80.0 years, respectively. Accumulative organ 鈮，

本文編號(hào)：2045468