煤工尘肺葡萄球菌肺炎38例临床分析

目的：探讨煤工尘肺葡萄球菌肺炎发病率，临床特征，预后，方法：对我院38例44例次煤工尘肺葡萄球菌肺炎进行了回顾性分析。结果：尘肺住院病人葡萄球菌肺炎发病为1．16％，病死率13．15％，经验用药与药敏符合率46．2％。结论：煤工尘肺院内葡萄球菌肺炎发病率高，耐药情况重，预后差。

Clinical analysis for 38cases of nosocomial staphylococcal pneumonia in patients with coal workers'pneumoconiosis

Objective To understand the incidence，clinical features and prognosis of nosocomial staphylococcal pneumonia in patients with coal workers pneumoconiosis．Methods Thirty-eight hospitalized cases，with 44 episodes，of nosocomial staphylococcal pneumonia complicated in the patients of coal workers pneumoconiosis were analyzed retrospectively．Results Incidence of nosocomial staphylococcal pneumonia was 1.16％ in the patients with coal workers pneumoconiosis，with a case-fatality ratio of 13.15％．Forty-four strains of staphylococcus were isolated from 166 specimens．The patients were treated with antibiotics in empirical use，only 46.2％ in coincidence with the results of sensitive tests．Conclusions Patients with coal workers pneumoconiosis tended to be complicated with nosocomial staphylococcal pneumonia during their hospitalization，which was more resistant to a few antibiotics with a poor prognosis．