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人正常及骨关节炎关节软骨细胞的体外分离培养及鉴定
引用本文:张庆,翁绳健,陈宝军,闫虎,王艺茹,张子怡,苏友新. 人正常及骨关节炎关节软骨细胞的体外分离培养及鉴定[J]. 西部医学, 2014, 45(1): 47-49
作者姓名:张庆  翁绳健  陈宝军  闫虎  王艺茹  张子怡  苏友新
作者单位:[1]上海中医药大学附属普陀医院急诊内科,上海200062 [2]上海交通大学医学院附属新华医院崇明分院急危重症医学科,上海202150
基金项目:国家自然科学基金资助(81072828);
摘    要:目的评价经验性抗感染治疗社区获得性肺炎(CAP)的临床疗效。方法以急诊内科病房CAP患者97例为研究对象,依据肺炎严重指数(PSI)分为低、中、高危人群,应用相应的抗感染治疗方案(阿奇霉素、或联合二、三、四代头孢茵素),评价其疗效。结果97例患者中,应用相应的抗感染治疗方案后7天好转率(有效+显效)为63.9%(62例)、临床治愈率为33.O%(32例),总有效率(好转+治愈)为96.9%(94例);其中14天治愈率为30.9%(30例);21天治愈率为10.3%(10例)。结论阿奇霉素、或联合二、三、四代头孢菌素经验性抗感染治疗CAP疗效确切可靠。

关 键 词:肺炎  社区获得性  抗感染治疗  经验性  大环内酯类  头孢类

Evaluation on efficacy of empiric antimicrobial therapy for patients with community acquired pneumonia
QIN Yi,CHENG Jie-jing,SONG Zhi-fang. Evaluation on efficacy of empiric antimicrobial therapy for patients with community acquired pneumonia[J]. , 2014, 45(1): 47-49
Authors:QIN Yi  CHENG Jie-jing  SONG Zhi-fang
Affiliation:1. Department of Emergency Medicine, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China 2. Department of Emergency and ICU , Xinhua Hospital, The Affiliated Medical University of Shanghai J iaotong University, Shanghai 202150, China)
Abstract:Ojeive o evlue he effiy of iniil empiinimioil hepy fopienwih ommuniy quied pneumoni(P) in he emegeny wd. MehodPienwih P in he emegeny wd wee eed y evel pogmof empiinimioil hepy (zihomyin oomining wo, hee, fougeneionephlopo- in) popeively oding pneumonieveiy index (PI) ino low, modee ohigh ik goup. heilinil dwee olleed o evlue heieffiy. eulhee wee 97 eof pienwih mle/femle 63 e(64. 9%)/34 e(35.1%), ge 80. 5:[:8.3 (51 o 94) yeold. hee wee 7 e(7.2%) wih P, 4 e(4.1%) wih P omining pleuiy, 65 e(67.0%) wih ue exeion of honiouive pulmony diee (EOPD) omining P, 20 e(20. 6%) wih EOPD omining P nd pleuiy nd 1 e (1.0%) wih onhieiomining P. hee wee 6 e(6.2%) in low-ik goup, 33 e(34.0%) in modee-ik goup nd 58 e(59.8%) in high-ik goup. hee wee 62 ee(63.9%) wee impoved, 32 e(33.0%) wee ued nd he ol effeive e (impoved q- ued) w96.9% (94/97 e) y uing oupogmof empiinimioil hepy du- ing 7 dy. he ued e w30. 9%(30/97 e) duing 14 dynd 10. 3%(10/97 e) duing 21 dy. onluion oding o PI, iwould e effeively nd elily o eP y empiinimieoil emenof zihomyin, oomine he viougeneionof ephlopoin.
Keywords:Community acquired pneumonia  Empiric  Antimicrobial therapy  Macrolide  Cephalosporin
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