摘要
目的:探讨对急诊病房社区获得性肺炎采用经验性抗感染治疗的临床价值。方法:收治CAP患者100例,根据肺炎严重程度分为轻、中、重度患者,并给予对应的抗感染治疗方案,最后分析其临床疗效。结果:100例患者中,7 d好转55例,治愈40例,无效5例,总有效率95.0%;10 d好转10例,治愈87例,无效3例,总有效率97.0%;14 d好转3例,治愈96例,死亡1例,总有效率99.0%。CAP分类与7 d临床疗效总好转率55.0%,总临床治愈率40.0%。结论:采用氟喹诺酮类或阿奇霉素联合2、3、4代头孢菌素治疗CAP临床效果显著。
Objective:To discuss the clinical value of community acquired pneumonia treated by empirical anti infective therapyin department of emergency.Methods:100 patients with CAP were selected,they were divided into mild,moderate and severepatients according to the severity of pneumonia,and received the corresponding anti infection treatment program.Finally,weanalysed the clinical curative effect.Results:Of the 100 patients,55 cases improved in 7 days,40 cases were cured,5 cases wereinvalid,the total effective rate was 95%.10 cases improved in 10 days,87 cases were cured,3 cases were invalid,the total effectiverate was 97% .3 cases improved in 14 days,96 cases were cured,1 case was dead,the total effective rate was 99% .The totalimprovement rate of CAP classification and clinical curative effects in 7 days was 55%,and the total clinical cure rate was 40%.Conclusion:The clinical effect of CAP treatment by fluoroquinolones or azithromycin with second or third,fourth generationcephalosporins was significant.
作者
赵星
邹玉刚
Zhao Xing;Zou Yugang(Department of Emergency,the First People's Hospital of Zunyi City 563000)
出处
《中国社区医师》
2015年第35期31-32,共2页
Chinese Community Doctors
关键词
社区获得性肺炎
经验性抗感染治疗
临床效果
Community acquired pneumonia
Empirical anti infective therapy
Clinical effect
