急诊入院帕金森病合并肺炎患者的临床特征分析

doi:10.3969/j.issn.1002-1949.2018.07.0011

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摘要目的分析急诊入院帕金森病（Parkinson′s disease, PD）合并肺炎患者的临床特征。方法对北京大学第三医院2007-09~2017-09经急诊入院的PD患者（n=190）进行回顾性分析，分析PD合并肺炎患者的临床特点、高危因素、病原学特点及预后。结果 ①PD合并肺炎患者组（n=75）在年龄、病程、住院时间和病死率方面高于无肺炎患者组（n=115，P<0.05）。②PD合并肺炎的高危因素是帕金森病严重程度、吞咽障碍和低白蛋白血症（P<0.001）。③痰病原学以革兰阴性菌为主，常见致病菌为铜绿假单胞菌、鲍曼不动杆菌和肺炎克雷伯菌。④16例（21.3%）PD合并肺炎患者死亡，与肺炎预后的相关因素为女性、留置胃管、合并心房颤动。结论急诊入院PD病情严重、合并吞咽障碍和低白蛋白血症患者易合并肺炎，病原学以革兰阴性菌为主，病死率高。

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	张莉萍
	马青变

关键词 ：帕金森病（PD）, 急诊入院, 肺炎

通讯作者: 马青变（1977-），女，主任医师，博士生导师，科副主任，E-mail： maqingbian@medmail.com.cn。

作者简介: 张莉萍(1985-)，女，硕士，E-mail： liping-0455@163.com。

引用本文:

张莉萍，马青变. 急诊入院帕金森病合并肺炎患者的临床特征分析[J]. 中国急救医学, 2018, 38(7): 612-615.
Zhang Li-ping,Ma Qing-bian. Clinical features of patients with Parkinson′s disease complicated with pneumonia admitted from emergency department. Chinese Journal of Critical Care Medicine, 2018, 38(7): 612-615.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2018.07.0011 或 http://www.cnemergency.org.cn/CN/Y2018/V38/I7/612

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