37例军团病肺炎分析
[Analysis of 37 cases of pneumonia of Legionnaires' disease].
作者信息
Lu W, Zhu Y, Luo W
机构信息
PUMC Hospital, CAMS and PUMC, Beijing.
出版信息
Zhonghua Jie He He Hu Xi Za Zhi. 1997 Apr;20(2):91-4.
OBJECTIVE
To heighten our awareness of pneumonia of Legionnaires' disease (LP).
METHODS
37 cases of LP were reviewed.
RESULTS
Besides the characteristics of pneumonia, extrapulmonary manifestations, including gastrointestinal, hepatic, renal and neurologic abnormalities, occurred in 35% of the patients, pleural effusion was more common (40%), 38% and 17% of the patients showed hyponatremia and pulmonary abscess respectively. Roentgenographic changes appeared to last longer and resoluted later than the clinical improvement occurred.
CONCLUSION
Erythromycin shows good effects in treating LP.
目的
提高对军团菌病肺炎（LP）的认识。
方法
回顾性分析37例LP患者。
结果
除肺炎的特征外，35%的患者出现肺外表现，包括胃肠道、肝脏、肾脏和神经异常，胸腔积液较为常见（40%），38%和17%的患者分别出现低钠血症和肺脓肿。影像学改变似乎比临床症状改善持续时间更长且消退更晚。
结论
红霉素治疗LP效果良好。
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