Tugova Iu E, Nonikov V E, Denisov L E
Ter Arkh. 1993;65(10):50-5.
The authors review 35 cases of acute pneumonia (AP) in 30 patients with multifocal cancer. As a rule, AP was focal, ran a moderate or severe course, arose acutely with high temperature, chill, cough, purulent discharge. Auscultation registered weak vesicular breath, moist rale. Among pathological agents prevailed associations of pneumococci with gram-negative flora. AP resolved for 3-4 weeks in 2/3 of the patients, the rest of them developed lingering disease. From the point of view of antibacterial drugs efficacy, wide-spectrum drugs are preferable.
作者回顾了30例多灶性癌症患者中的35例急性肺炎(AP)病例。通常,AP为局灶性,病程呈中度或重度,急性起病,伴有高热、寒战、咳嗽、脓性分泌物。听诊可闻及微弱的肺泡呼吸音、湿啰音。在病原体中,肺炎球菌与革兰氏阴性菌的联合感染最为常见。三分之二的患者在3至4周内AP得到缓解,其余患者则发展为迁延性疾病。从抗菌药物疗效的角度来看,广谱药物更为可取。