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煤工尘肺葡萄球菌肺炎38例临床分析

Clinical analysis for 38 cases of nosocomial staphylococcal pneumonia in patients with coal workers' pneumoconiosis
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摘要 目的 探讨煤工尘肺葡萄球菌肺炎发病率、临床特征、预后。方法 对我院 3 8例 44例次煤工尘肺葡萄球菌肺炎进行了回顾性分析。结果 尘肺住院病人葡萄球菌肺炎发病为 1 16% ,病死率 13 15 % ,经验用药与药敏符合率 46 2 %。结论 煤工尘肺院内葡萄球菌肺炎发病率高 ,耐药情况重 。 Objective To understand the incidence,clinical features and prognosis of nosocomial staphylococcal pneumonia in patients with coal workers pneumoconiosis.Methods Thirty eight hospitalized cases,with 44 episodes,of nosocomial staphylococcal pneumonia complicated in the patients of coal workers pneumoconiosis were analyzed retrospectively.Results Incidence of nosocomial staphylococcal pneumonia was 1 16% in the patients with coal workers pneumoconiosis,with a case fatality ratio of 13 15%.Forty four strains of staphylococcus were isolated from 166 specimens.The patients were treated with antibiotics in empirical use,only 46 2% in coincidence with the results of sensitive tests.Conclusions Patients with coal workers pneumoconiosis tended to be complicated with nosocomial staphylococcal pneumonia during their hospitalization,which was more resistant to a few antibiotics with a poor prognosis.
出处 《中国工业医学杂志》 CAS 北大核心 2001年第3期133-135,共3页 Chinese Journal of Industrial Medicine
关键词 煤工 尘肺 葡萄球菌 院内感染 肺炎 抗生素 耐药性 Coal workers' pneumoconiosis Staphylococcal nosocomial pneumonia
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  • 1马纪平,中华医学检验杂志,1991年,14卷,233页
  • 2中山一诚,第二届中日化学疗法研讨会,1993年
  • 3娄永新,实用临床细菌学检验与进展,1993年
  • 4李家泰,第一届中日化学疗法研讨会,1992年
  • 5王万胜,国外医学微生物学分册,1992年,15卷,118页

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