Клинические особенности пневмоний с неблагоприятным исходом (по материалам терапевтического отделения Республиканской клинической больницы скорой медицинской помощи им. В.В. Ангапова г. Улан-Удэ за 2013-2015 гг.)

Acta Biomedica Scientifica

Т. И. Батудаева¹  Е. В. Башкуева² 

[1] Иркутская государственная медицинская академия последипломного образования - филиал ФГБОУ «Российская медицинская академия непрерывного профессионального образования» Минздрава России;ФГБОУ ВО «Бурятский государственный университет»

关键词: внебольничная пневмония;    госпитальная пневмония;    аспирационная пневмония;    неблагоприятный исход;   

DOI  :  10.12737/article_59e8bc58999c72.83741500

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

We studied clinical characteristics of pneumonia associated with therapeutic failure. The research was based on the materials of the therapeutic department of the Angapov Republican Clinical Emergency Hospital of Ulan-Ude for the period of 2013-2015. 7449 patients were treated in the department for three years, 462 of them died (6.3 %). 154 cases of deaths from pneumonia were registered during that period. Patients who died of pneumonia were primary men - 53.2 %, older than 40 years - 85.8 %, had bilateral lung damage - 58.4 % and severe comorbidities. Only 27.2 % of them had a primary diagnosis of pneumonia. In other cases, pneumonia was a concomitant disease and occurred in patients with chronic alcohol intoxication in more than half of these cases. A direct correlation has been established between the number of deaths and the age of patients in the group of people with a primary diagnosis of pneumonia; bilateral lung damage was observed in 54.1 % of patients in this group. In another group, where pneumonia was a complication of the underlying disease, the highest mortality was observed in the age group 40-59 years (43.8 % of cases) - among working-age people. 17.6 % of patients who died were younger than 40 years; they were injection drug users and had HIV. 59.9 % of patients in this group had a bilateral lung damage. At the moment of admission patients had a primary diagnosis of toxic action of ethanol - in 42.0 %, chronic obstructive pulmonary disease - in 18 %, liver cirrhosis - in 7 %, acute poisoning - in 10.7 % of cases.

【 授权许可】

CC BY