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目的分析妊娠期社区获得性肺炎患者的临床特点以提高对该疾病的认识。方法回顾性分析确诊的妊娠期社区获得性肺炎患者206例临床资料。结果妊娠期社区获得性肺炎主要表现为咽痛196例、发热178例、咳嗽169例、腹痛148例、呼吸困难96例、阴道出血47例、流感样症状38例,伴随咽部充血、扁桃体肿大及相关并发症。并发症有胸腔积液166例、胎儿宫内窘迫91例、早产46例、流产(包括人为因素)35例、急性呼吸衰竭16例。平均住院时间8.56天,平均住院费用0.79万元。结论妊娠期社区获得性肺炎临床表现独特、并发症多、住院时间较长、花费较大,应予以重视。
Objective To analyze the clinical features of patients with community-acquired pneumonia during pregnancy to improve their understanding of the disease. Methods The clinical data of 206 cases of community-acquired pneumonia in pregnancy were retrospectively analyzed. Results The main symptoms of community-acquired pneumonia during pregnancy were 196 cases of sore throat, 178 cases of fever, 169 cases of cough, 148 cases of abdominal pain, 96 cases of dyspnea, 47 cases of vaginal bleeding and 38 cases of flu-like symptoms with pharyngeal congestion and tonsil swelling Large and related complications. There were 166 cases of pleural effusion, 91 cases of fetal distress, 46 cases of premature delivery, 35 abortion (including human factors) and 16 cases of acute respiratory failure. The average hospitalization time 8.56 days, the average hospitalization cost 7900 yuan. Conclusion The clinical manifestations of community-acquired pneumonia during pregnancy are unique, with many complications, longer hospital stay and larger costs, which should be paid more attention to.