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[局部战争和武装冲突条件下军人院外肺炎的病程特点]

[Peculiarities of course of extramural pneumonia among military servicemen in conditions of local war and armed conflicts].

作者信息

Kuchmin A N, Kharitonov M A, Shevelev A A, Rezvan V V, Butikov V P, Sergeev S M

出版信息

Voen Med Zh. 2010 Mar;331(3):25-35.

Abstract

The aim of work was examination of peculiarities of outhospital pneumonia (OHP) among military servicemen, participants of local armed conflicts in areas of Prodnestrovie, Tadjikistan, North Ossetia, Abkhazia. There were retrospectively analyzed 139 archive patient histories of military servicemen, got pneumonia during 1990-1993. In structure of OHP of military servicemen predominating was pneumonia with not hard course of disease. Was educes a clear season dependence of appearance of pneumonia in described conditions with it's peculiarities. Each fifth patient form call-up contingent had deficit of weight. It influenced on course of disease. In 40% of cases of OHP there were coexistent diseases. Peculiarities in clinical forms of disease were not found. Using of antibacterial measures in treatment of OHP was empirical, during therapy of acute pneumonia were used 3 antibiotics simultaneously. For a more long-term of treatment had a need soldiers, participants of combat actions on the Northern Caucasus.

摘要

该研究旨在调查在德涅斯特河沿岸、塔吉克斯坦、北奥塞梯、阿布哈兹等地参与局部武装冲突的军人中,院外肺炎(OHP)的特点。回顾性分析了1990 - 1993年期间患肺炎的139名军人的档案病历。军人OHP的构成中,以病情不严重的肺炎为主。得出在所述情况下肺炎的出现存在明显的季节依赖性及其特点。每五分之一的应征入伍者体重不足。这对疾病进程有影响。40%的OHP病例存在并存疾病。未发现疾病临床形式的特点。OHP治疗中抗菌措施的使用是经验性的,急性肺炎治疗期间同时使用3种抗生素。北高加索地区参加战斗行动的士兵需要更长疗程的治疗。

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