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高位截瘫患者合并肺部感染的62例临床分析
引用本文:杨为,唐勇. 高位截瘫患者合并肺部感染的62例临床分析[J]. 广东寄生虫学会年报, 2011, 0(12): 1401-1402,1465
作者姓名:杨为  唐勇
作者单位:[1]暨南大学附属第一医院临床药理室,广东广州510630 [2]中山大学附属孙逸仙纪念医院骨科,广东广州510120
摘    要:目的探讨高位截瘫患者合并肺部感染的防治。方法选取2007年1月至2010年12月高位截瘫合并肺部感染患者62例,对其资料进行回顾性研究。结果高位截瘫患者合并肺部感染起病隐匿,临床表现不典型,以双肺感染为主(64.5%),主要病原菌为革兰氏阴性(G-)杆菌(72.6%),死亡率为11.3%。结论高位截瘫合并肺部感染与患者呼吸系统功能改变相关,多为坠积性肺炎,G-杆菌为主要致病菌。应早期足量联合使用敏感的抗菌药物。

关 键 词:高位截瘫  肺部感染  革兰氏阴性杆菌

Clinical analysis of high paraplegia with lung infection, a report of 62 cases
YANG Wei,TANG Yong. Clinical analysis of high paraplegia with lung infection, a report of 62 cases[J]. Journal of Tropical Medicine, 2011, 0(12): 1401-1402,1465
Authors:YANG Wei  TANG Yong
Affiliation:1.Department of Clinical Pharmacology, The First Affiliated Hospital of Jinan University, Guangdong,Guangzhou 510630;2.Department of Orthopedics, Sun Yat Sen Memorial Hospital of Sun Yat-sen University, Guangdong, Guangzhou 510120,China)
Abstract:Objective To analysis clinical outcome of high paraplegia with lung infection. Method Retrospective analysis of 62 cases of high paraplegia with lung infection from 2007 to 2010. Results The clinical characterization of lung infection in patients with high paraplegia was atypical. Forty cases(64.5%)of 62 cases suffered from bilateral pneumonia and 45 cases (72.6%) were infected with gram negative bacteria, with a mortality rate at 11.3%. Conclusion Early administration and combined antibiotic should be applied in patients of high paraplegia with lung infection.
Keywords:high paraplegia  lung infection  gram negative bacteria
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