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目的探讨无反应性获得性肺炎的临床特点及其危险因素。方法随机选取2013年8月—2015年3月期间本院收治的无反应性社区获得性肺炎患者68例,对其临床资料进行回顾性分析。结果反应性社区获得性肺炎多由感染未控制所致,其中以胸腔积液和败血症所致感染最为常见;在误诊病例中,以肺结核最为常见;所有患者均存在发热表现,以体温≥38℃最为常见,肺部听诊可闻及湿罗音。结论对于社区获得性肺炎患者,在就诊时应注意同肺结核等肺部病变进行鉴别诊断,并对病原菌进行准确判断,采用敏感抗生素对其进行积极的抗感染治疗,以促进患者临床症状的改善及其生活质量的提高。
Objective To investigate the clinical features and risk factors of aplastic pneumonia. Methods A total of 68 patients with aplastic community-acquired pneumonia admitted to our hospital from August 2013 to March 2015 were randomly selected and their clinical data were retrospectively analyzed. Results Reactive community-acquired pneumonia was mostly caused by uncontrolled infection. Among them, pleural effusion and septicemia were the most common infections. In the misdiagnosed cases, tuberculosis was the most common. All patients had fever, with body temperature ≥38 ℃ The most common, lung auscultation can be heard and wet rales. Conclusions Patients with community-acquired pneumonia should pay attention to the differential diagnosis of pulmonary lesions such as pulmonary tuberculosis at the time of diagnosis, and make accurate judgment on the pathogenic bacteria. Active antibiotics should be used to treat patients with community-acquired pneumonia so as to promote the improvement of clinical symptoms and The improvement of their quality of life.