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我院从1988年12月28日-59年3月31日共牧麻疹并发肺炎1,129例住院病人,其中有部分肺炎临床表现严重,虽經各种抗菌素与化学药品治疗,但往往牧不到良好效果。此类肺炎經X光检查确定均为大片性改变。因此命名为大片性肺炎,是否恰当尚待商討。此大片性肺炎棂据我們临床的观察主要有以下几个特点: 1.持續性高燒不退(常达二周),不能为一股抗菌素与磺胺莉物所控制。 2.往往伴有神經系症状(嗜睡、煩燥不安,昏迷,抽风)。 3.大多数白血球总数正常或減少。 4.X光检查均为大片浸潤性改变。 5.病程长,可达四周左右。茲将麻疹并发大片性肺炎60例作一初步临床分析提供参考。
Our hospital from December 28, 1988 - March 31, 59 total cases of measles complicated with pneumonia in 1,129 cases of inpatients, some of which have serious clinical manifestations of pneumonia, although by a variety of antibiotics and chemical treatment, but often not well-animal husbandry effect. Such pneumonia by X-ray examination were identified as large changes. So named as large-scale pneumonia, is appropriate to be discussed. According to our clinical observation, this large-scale pneumonia is mainly characterized by the following features: 1. Sustained high fever (usually up to two weeks) can not be controlled by an antibiotic and sulfonamide. 2. often accompanied by neurological symptoms (drowsiness, irritability, coma, ventilation). 3. The majority of white blood cells normal or reduced. 4.X light examination are large changes in invasiveness. 5. Long duration, up to about four weeks. The measles complicated by large-scale pneumonia in 60 cases for a preliminary clinical analysis provide a reference.