摘要目的 探讨影响敏感社区获得性肺炎克雷伯菌肺炎救治结局的因素.方法 依据2006年社区获得性肺炎(Community-acquired pneumonia,CAP,下同)诊断标准,回顾性分析我科2004年2月至2009年2月期间收治的对初始抗生素敏感的41例社区获得性肺炎克雷伯菌肺炎患者的临床资料,对存活组和死亡组的基础状态进行比较.结果 存在合并症者病死率高于无合并症者,相比较具有统计学意义(P＜0.05);高龄、合并慢性酒精中毒、慢性阻塞性肺疾病及糖尿病患者的死亡率高,相比较具有统计学意义(P＜0.05);4个影响救治结局的危险因素按OR值大小为年龄＞慢性酒精中毒＞慢性阻塞性肺疾病(chronic obstructive pulmonarydisease,COPD,下同)＞糖尿病.结论 非病原学因素对社区获得性肺炎克雷伯菌肺炎患者救治结局的影响起重要作用,应积极改善患者基础状态.

abstractsObjective To investigate the basic status of the community-acquired Klebsiella pneumoniae pneumonia patients. Methods According to the diagnosis standard of CAP in 2006,41 community-acquired Klebsiella pneumoniae pneumonia patients in our hospital from February 2004 to February 2009 were analyzed retrospectively, of which the pathogens was sensitive to the early empirically application of antibiotics. Results The mortality rate of combined basic disease group was higher than that of less group, which has statistical significance (P＜0.05). The mortality rate of the patients with advancde age, chronic alcoholism, COPD, and diabetes was higher, and has statistical significance (P＜0.05). There were four risk fators associated with the prognosis of the patients. Aording to OR Value, were age ＞ chronic alcoholism ＞ COPD ＞ diabetes. Conclusion To improve the prognosis of the community-acquired Klebsiella pneumoniae pneumonia patients, not only the pathogens but also the basic complications should be emphasized.