衢州市急诊获得性肺炎的病原学调查及危险因素分析
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[摘要] 目的 探讨急诊获得性肺炎的病原学调查结果及相关危险因素。 方法 选取2016年10月～2017年10月我院收治的获得性肺炎患者100例，对获得性肺炎的病原学进行调查，对获得性肺炎的危险因素进行筛选分析。结果 嗜血杆菌属是获得性肺炎的主要致病原;性别以及年龄因素、是否患有慢性肝病、高血压、冠心病、肾功能衰竭以及住院前患有肺炎和吸烟史存在统计学意义（P<0.05）;慢性肝病、冠心病、高血压、吸烟以及肾功能衰竭等因素均差异，均有统计学意义（P<0.05）。 结论 在临床上诊治获得性肺炎的患者时，医生应均主要考虑选择对临床常见细菌以及非典型病原体均有显著抑制效果的抗微生物药。对急诊患者进行诊疗时应该重视并加强防护，减少急诊内获得性肺炎的发生几率。
[关键词] 急诊;社区获得性肺炎;病原学;危险因素
[中图分类号] R563.1 [文献标识码] B [文章编号] 1673-9701（2019）03-0076-04
[Abstract] Objective To investigate the pathogenic findings and related risk factors of emergency acquired pneumonia. Methods A total of 100 patients with acquired pneumonia admitted in our hospital from October 2016 to October 2017 were eolled. The etiology of acquired pneumonia was investigated and the risk factors of acquired pneumonia were screened and analyzed. Results Haemophilus was the main cause of acquired pneumonia. There were statistically significant differences in gender and age factors， chronic liver disease， hypertension， coronary heart disease， renal failure， and the history of pneumonia and smoking before hospitalization（P<0.05）. There were differences in factors such as chronic liver disease， coronary heart disease， hypertension， smoking and renal failure（P<0.05）. Conclusion When clinically treating patients with acquired pneumonia， doctors should ...
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