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目的 了解肺癌患者医院获得性肺炎的临床特点及病原菌感染情况。方法 回顾性总结分析 86例因肺癌住院患者发生医院获得性肺炎的临床资料。结果 患者的临床表现不典型 ,痰培养分离出 99株病原菌 ,其中革兰氏阴性杆菌占 64 .6% ,革兰氏阳性球菌占 2 3 .2 5 % ,真菌占 12 .1% ,耐药情况较严重。结论 老年和机体免疫抑制状态是接受化疗和放疗肺癌患者易于发生医院获得性肺炎的主要因素 ,及时诊断 ,根据细菌药敏检测结果选用抗生素。
Objective To investigate the clinical characteristics and pathogen infection of hospital-acquired pneumonia in patients with lung cancer. Methods The clinical data of 86 hospitalized patients with lung cancer due to hospital acquired pneumonia were retrospectively analyzed. Results The clinical manifestations of patients were not typical, 99 strains of pathogens were isolated from sputum culture, of which Gram-negative bacilli accounted for 64.6%, Gram-positive bacteria accounted for 23.5%, fungi accounted for 12.1%, resistant The situation is more serious. Conclusion The immunosuppressive state of the elderly and the body is the main factor for the susceptibility to hospital-acquired pneumonia in patients undergoing chemotherapy and radiotherapy of lung cancer. The timely diagnosis is based on the antibiotic susceptibility test results.