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肺炎由于其高发病率和病死率,居目前最常见死因的第5位和感染性疾病的首位,故仍是一严重的健康问题。为此,作者于1985~1987年研究了67例住院重型社区获得性肺炎病人。病人和方法 67例病人中男45、女22例,年龄7~87岁。重症标准:有呼吸衰竭或败血症休克,肺外并发症,神智障碍,X 线胸片上有一个肺叶以上受累或胸积液。病人入院时均作白细胞计数和 PaO_2检查及 X 线胸片。血培养和血清学检验于入院第1天和21天检查。呼吸道培养标本是采用经胸穿肺针吸术(PNA)或做
Pneumonia is still a serious health problem due to its high morbidity and mortality, ranking 5th in the most common cause of death and first in infectious diseases. To this end, the author in 1985 to 1987 studied 67 cases of hospitalized patients with severe community-acquired pneumonia. Patients and Methods 67 cases of male 45, female 22 cases, aged 7 to 87 years. Severe Criteria: Respiratory failure or septic shock, extra-pulmonary complications, mental retardation, X-ray chest has a lung involvement or more than chest fluid. Patients were admitted for leukocyte count and PaO_2 examination and X-ray. Blood culture and serological tests were checked on day 1 and 21 of admission. Respiratory culture specimens using transthoracic pulmonary needle aspiration (PNA) or do