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目的:回顾性调查我院收治柴油吸入性肺炎病人的发病、治疗及预后等数据,为防治提出科学建议。方法:对2006年2月~2011年2月入住我院柴油吸入性肺炎病人的临床资料进行回顾性调查,分析柴油吸入性肺炎的发病原因、治疗过程及转归预后。结果:在统计年内,发病人数23例,发病原因均为误吸柴油,经体位引流、抗炎及经纤支镜气管灌洗等治疗后均全部治愈。结论:柴油吸入性肺炎的发生,都是因为不规范维修汽车和使用柴油引起,疾病自身是可防可控的。可在根源上教育、培训司机规范维修汽车、谨慎接触柴油,一旦沾染首先应将患者移至空气清新处,摆好体位行体位引流,并彻底清洗皮肤,同时及时就医,切不可延误。
OBJECTIVE: To retrospectively investigate the incidence, treatment and prognosis of patients with diesel pneumonia admitted to our hospital and to provide scientific advice for prevention and treatment. Methods: The clinical data of patients with diesel aspiration pneumonia who admitted to our hospital from February 2006 to February 2011 were retrospectively analyzed. The causes, the course of treatment and prognosis of diesel aspiration pneumonia were analyzed. Results: In the statistical year, the incidence of 23 cases, the cause of the disease were aspiration diesel, body drainage, anti-inflammatory and endoscopic bronchial lavage after treatment were all cured. Conclusion: The occurrence of diesel pneumonia is caused by the non-standard maintenance of vehicles and the use of diesel fuel. The disease itself is preventable and controllable. At the root causes, we can educate and train drivers to maintain their vehicles and cautiously contact diesel oil. If contaminated, first remove the patient to fresh air, put body position drainage and thoroughly clean the skin, and timely medical treatment should not be delayed.