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为明确金黄色葡萄球菌肺炎的发病现状、对抗生素的敏感性和影响预后的因素,回顾分析了同济医院内科呼吸病房1984~1997 年住院金葡菌肺炎患者108 例的发病、抗生素敏感性和预后情况。结果显示患者平均年龄16.8±12.5 岁, 男性多见, 临床表现无特殊性, 以发热、脓痰、胸痛为多见; 可同时出现脓胸或脓气胸、身体其它部位脓肿形成等多种并发症并影响患者预后。金葡菌对抗生素的敏感性出现一定变迁, 且具有多重耐药性; 预后与住院天数、退热前有效的抗生素应用呈正相关, 而与发热天数、胸痛以及感染来源呈负相关。表明金葡菌肺炎临床表现无特殊性, 并发症出现率高, 细菌具有多重耐药性, 及早足疗程应用有效抗生素能改善疾病预后
In order to clarify the current situation of the incidence of Staphylococcus aureus pneumonia, the sensitivity to antibiotics and the prognostic factors, the incidence, antibiotic sensitivity and prognosis of 108 patients with Staphylococcus aureus pneumonia admitted in Tongji Hospital Respiratory Ward from 1984 to 1997 were retrospectively analyzed. Happening. The results showed that the average age of patients 16.8 ± 12.5 years old, more common in men, no specific clinical manifestations, fever, purulent sputum, chest pain is more common; can be empyema or pus pneumothorax, abscess formation in other parts of the body A variety of complications and affect the prognosis of patients. Staphylococcus aureus antibiotics sensitivity to some changes, and has multi-drug resistance; prognosis and length of stay, pre-antimicrobial effective antibiotic use was positively correlated, but with fever days, chest pain and the source of infection was negatively correlated. Show that the clinical manifestations of Staphylococcus aureus pneumonia no particularity, the high incidence of complications, bacteria have multiple drug resistance, and early enough courses of application of effective antibiotics can improve disease prognosis