| 社区获得性肺炎186例病原学分析 |
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| 引用本文： | 陈延斌,季成,雷伟,黄建安,凌春华,陶岳多.社区获得性肺炎186例病原学分析[J].江苏医药,2008,34(5):444-446. |
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| 作者姓名： | 陈延斌 季成 雷伟 黄建安 凌春华 陶岳多 |
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| 作者单位： | 苏州大学附属第一医院呼吸病科,215006 |
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| 基金项目： | 苏州大学校科研和教改项目 |
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| 摘 要： | 目的 研究社区获得性肺炎(CAP)的病原体分布,同时观察CURB-65评分与住院时间长短的关系.方法 应用ELISA法对所有入选的CAP患者进行肺炎支原体和肺炎衣原体IgM抗体检测,同时对部分患者行痰液、血液或胸水培养,并依据CURB-65评分对低危组和中危组的住院时间进行比较.结果 186例CAP患者中共有70例(37.6%)检测到病原体.35例(18.8%)痰培养阳性,胸水培养阳性1例(0.5%),血培养均阴性.39例(21.0%)检测到非典型病原体,其中肺炎支原体22例(11.8%)、肺炎衣原体18例(9.7%).混合感染率为14.3%.按CURB-65评分系统,低危组和中危组的平均住院时间无统计学差异.结论 CAP中病原体的检出率不高,非典型病原体占重要地位,混合感染不容忽视,低危组存在住院时间过长的倾向.
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| 关 键 词： | 社区获得性肺炎 |
| 文章编号： | 0253-3685(2008)05-0444-03 |
| 修稿时间： | 2007年12月7日 |
Pathogenic analysis of 186 cases with hospitalized community-acquired pneumonia |
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| CHEN Yanbin,JI Cheng,LEI Wei,et al..Pathogenic analysis of 186 cases with hospitalized community-acquired pneumonia[J].Jiangsu Medical Journal,2008,34(5):444-446. |
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| Authors: | CHEN Yanbin JI Cheng LEI Wei |
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| Affiliation: | CHEN Yanbin,JI Cheng,LEI Wei,et al.Department of Respiratory Diseases,Affiliated First Hospital,Soochow University,Suzhou 215006,CHINA |
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| Abstract: | Objective The pathogenic causes of community-acquired pneumonia (CAP) were investigated.The relation between length of stay (LOS) in hospital and CURB-65 scoring system were observed.Methods IgM antibodies of mycoplasma pneumoniae and chlamydia pneumoniae were detected by ELISA kit of Euroimmun company for all CAP patients. Sputum,blood or pleural effusion was cultured when necessary. The LOS between low-risk group and intermediate-risk group was compared according to CURB-65 scoring system. Results Of 186 ... |
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| Keywords: | Community-acquired pneumonia |
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