院内和社区获得性军团菌肺炎71例临床分析

首都医科大学学报 ›› 1999, Vol. 20 ›› Issue (2): 113-115.

院内和社区获得性军团菌肺炎71例临床分析

苏文娟¹, 陈秉良¹, 关绍晨¹, 党斌温², 胡虹英³, 李小莹¹, 涂国红⁴

1. 首都医科大学宣武医院内科;2. 天坛医院呼吸科;3. 同仁医院内科;4. 解放军总医院内科

收稿日期:1998-09-07 修回日期:1900-01-01 出版日期:1999-04-15 发布日期:1999-04-15

Clinical Analysis of 71 Cases of Nosocomial Acquired Legionella Pneumonia and Communityacquired Legionella Pneumonia

Su Wenjuan¹, Chen Bingliang¹, Guan Shaochen¹, Dang Binwen², Hu Hongying³, Li Xiaoying¹, Tu Guohong⁴

1. Department of Internal Medicine, Xuanwu Hospital, Affiliate of Capital University of Medical Science;2. Department of Respicarbory, Beijing Tiantan Hospital;3. Beijing Tongren Hospital;4. General Hospital of PLA

Received:1998-09-07 Revised:1900-01-01 Online:1999-04-15 Published:1999-04-15

摘要/Abstract

摘要： 为提高对院内军团菌肺炎(NALP)和社区获得性军团菌肺炎(CALP)的认识,分析了18例NALP和53例CALP.结果表明,NALP和CALP均多见于50岁以上男性,临床表现和胸部X线特征相似,呼吸衰竭是两者最常见的并发症。NALP多有危险因素,病死率明显高于CALP.NALP感染军团菌以LP₁(嗜肺军团菌血清Ⅰ型)、LP₆多见,而CALP以LP₁₂多见。

关键词: 军团菌肺炎, 院内感染, 社区获得性肺炎

Abstract: 71 cases of nosocomialacquired Legionella pneumonia(NALP) and communityacquired Legionella pneumonia (CALP) were analyzed to improve the knowledge about them. The result showed that NALP and CALP were both frequent in male aged over 50, the clinical manifestation and chest radiographic finding were similar, the most frequent complication in both groups was respiratory failure. There were significant difference in risk factor, Legionella tape, mortality rate between NALP and CALP. Risk factors and mortality rate were higher in NALPgroup than in CALP. Legionella pneumophila in NALP is often LP₁、LP₆ and in CALPis LP₁₂.

Key words: legionella pneumonia, nosocomial infection, communityacquired pneumonia

中图分类号:

R563.1

苏文娟;陈秉良;关绍晨;党斌温;胡虹英;李小莹;涂国红. 院内和社区获得性军团菌肺炎71例临床分析[J]. 首都医科大学学报, 1999, 20(2): 113-115.

Su Wenjuan;Chen Bingliang;Guan Shaochen;Dang Binwen;Hu Hongying;Li Xiaoying;Tu Guohong. Clinical Analysis of 71 Cases of Nosocomial Acquired Legionella Pneumonia and Communityacquired Legionella Pneumonia[J]. Journal of Capital Medical University, 1999, 20(2): 113-115.

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