Baĭgozina E A
Klin Med (Mosk). 2009;87(6):57-9.
This prospective study was focused on the initiation, development and outcome of nosocomial pneumonia (NP) caused by Pseudomonas aeruginosa in 51 patients receiving intensive therapy. The most characteristic features of this NP proved to be severe clinical course and poor prognosis (38% lethality). More than half of the cases developed bilateral lung disease with the predominant affection of the upper lobe in the left lung. Other frequent conditions were tissue destruction and oedema. The need of immediate hospitalization at the intensive therapy ward, septic shock, and infectious disease were predictors of fatal outcome of NP.
这项前瞻性研究聚焦于51例接受强化治疗的患者中由铜绿假单胞菌引起的医院获得性肺炎（NP）的发病、发展及转归。该NP最典型的特征是临床过程严重且预后不良（致死率为38%）。超过半数病例出现双侧肺部病变，以左肺上叶受累为主。其他常见情况为组织破坏和水肿。在强化治疗病房需要立即住院、发生感染性休克以及患有传染病是NP致死结局的预测因素。
