摘要
目的 了解妊娠期肺炎患者的临床特点和预后.方法 回顾性分析2005年2月至2011年2月住院的妊娠期肺炎51例,其中妊娠期甲型H1N1流感肺炎组16例,妊娠期社区获得性肺炎组35例.结果 妊娠期甲型H1N1流感肺炎组白细胞（6.49±2.54）×109/L低于妊娠期社区获得性肺炎组白细胞（12.14±4.93）×109/L,（P＜0.000 1＜0.05）;妊娠期甲型H1N1流感肺炎组C反应蛋白（85.07±61.02） mg/L高于妊娠期社区获得性肺炎组C反应蛋白（46.13±35.46） mg/L（P=0.030 2＜0.05）.在胸部CT上,妊娠期甲型H1N1流感肺炎组12例（75％）比妊娠期社区获得性肺炎组17例（40％）更多出现双肺病变（P =0.020 3）.妊娠期甲型H1N1流感肺炎组死胎4例（25％）,妊娠期社区获得性肺炎组死胎0例（0％）（P=0.011 7）.结论 妊娠期甲型H1N1流感肺炎组白细胞一般正常或不升高,低于妊娠期社区获得性肺炎组.前者C反应蛋白比后者升高的更明显,炎症反应更重.妊娠期甲型H1N1流感肺炎组肺部多出现双肺受累,死胎多.
Objective Understand to patients pneumonia in pregnancy the characteristics of clinical and prognosis.Methods A retrospective study was performed on 51 cases disease of pneumonia in pregnancy from Feb.2005 to Feb.2011.Among of all cases influenza A（H1N1） pneumonia in pregnancy is 16 cases and community-Acquired pneumonia in pregnancy is 35 cases.Results White blood count always lower influenza A （H1N1） pneumonia in pregnancy （6.49 ± 2.54） × 109/L compared to community Acquired pneumonia in pregnancy （12.14 ± 4.93） × 109/L （P 〈 0.000 1〈 0.05）.CRP is （85.07±61.02） mg/L in the influenza A（H1N1） pneumonia,is high compared CRP is （46.13±35.46）mg/L community-Acquired pneumonia in pregnancy （P =0.030 2 〈 0.05）.Influenza A （H1N1）pneumonia in pregnancy 12 case （75%） were compared with the community-Acquired pneumonia in pregnancy 17 case （40%） the following CT findings were obvious （P =0.020 3）.Changes CT image were more appeared in the two side of lung.Death rate of fetus is higher in the influenza A（H1N1）pneumonia-in pregnancy,it is 4 case.But community-Acquired pneumonia in pregnancy is no case.Conclusions In the influenza A（H1N1） pneumonia in pregnancy,white cell is lower compared with community-Acquired pneumonia in pregnancy.The former CRP is significant high in the latter.Changes CT image were more appeared in the two side of lung.Death rate of fetus is higher in the influenza A （H1N1） pneumonia in pregnancy.
出处
《国际呼吸杂志》
2013年第13期999-1002,共4页
International Journal of Respiration
关键词
妊娠期肺炎
临床特点
预后
Pneumonia in pregnancy
Clinical characteristic
Prognosis
