城市医院中吸入性肺炎的风险与转归
Risk and outcome of aspiration pneumonia in a city hospital.
作者信息
Jones J
机构信息
Howard University Medical Service, DC General Hospital, Washington, DC 20003.
出版信息
J Natl Med Assoc. 1993 Jul;85(7):533-6.
Abstract
Because aspiration pneumonia contributes significantly to morbidity and mortality in hospitalized patients, this study was undertaken to identify risk factors for morbidity and mortality associated with aspiration pneumonia. Patients with a discharge diagnosis of aspiration pneumonia in 1985 and 1990 were studied. Factors associated with death from aspiration pneumonia were: altered mental status, cerebrovascular accident, endotracheal intubation, tachycardia, and hypoxemia. Fever, cough, and unilateral infiltrates on chest radiograph were associated with survival. Attention to proper positioning of comatose patients, aggressive treatment of gastroesophageal reflux, and strict attention to endotracheal tubes and tracheostomies should decrease the morbidity and mortality associated with aspiration pneumonia.
摘要
由于误吸性肺炎对住院患者的发病率和死亡率有显著影响，因此开展本研究以确定与误吸性肺炎相关的发病和死亡风险因素。对1985年和1990年出院诊断为误吸性肺炎的患者进行了研究。与误吸性肺炎死亡相关的因素有：精神状态改变、脑血管意外、气管插管、心动过速和低氧血症。发热、咳嗽和胸部X线片显示单侧浸润与存活相关。注意昏迷患者的正确体位、积极治疗胃食管反流以及严格关注气管插管和气管造口术应可降低与误吸性肺炎相关的发病率和死亡率。
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