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Pathogen Distribution,Imaging Characteristics,and Influencing Factors of Respiratory Failure in COPD Patients with Community-Acquired Pneumonia |
KANG Lin, WANG Yanxin, ZHU Ying, et al |
Ya'an People's Hospital, Sichuan Ya'an 625000, China |
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Abstract Objective: To investigate the pathogen distribution,imaging characteristics and related factors of respiratory failure in elderly patients with COPD complicated with community acquired pneumonia. Methods: A total of 154 patients with COPD complicated with community acquired pneumonia who were treated were selected as the observation group,while 154 patients with simple COPD were selected as the control group,the differences in pathogenic bacteria and imaging characteristics between the two groups were compared,and the differences in clinical data between the observation group and patients without respiratory failure were analyzed. Results: 93 strains of pathogenic bacteria were detected in the observation group,including Klebsiella pneumoniae,Escherichia coli,Streptococcus pneumoniae and atypical pathogens,accounting for 16.13%,13.98%,12.90% and 12.90% respectively.The proportion of lamellar infiltration shadow,consolidation shadow and cavity in the observation group was 86.36%,20.78% and 14.94% respectively,which was significantly higher than that in the control group (P<0.05).The proportion of ≥ 70 years old,APACHE Ⅱ score>15,serum albumin<30g/L,COPD course>10 years in patients with combined respiratory failure was 72.86%,65.71%,64.29% and 72.86%,(P<0.05).Logistic showed that age,APACHE Ⅱ,serum albumin and COPD course were the influencing factors of respiratory failure (P<0.05). Conclusion: Patients with COPD complicated by community-acquired pneumonia have a high rate of Klebsiella pneumoniae infection,with significant differences in imaging features between the two; the development of respiratory failure in patients with COPD complicated by community-acquired pneumonia is influenced by factors such as patient age and APACHE Ⅱ score.
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[1] Stolz D,Mkorombindo T,Schumann DM,et al.Towards the elimination of chronic obstructive pulmonary disease:a lancet commission[J].Lancet,2022,400 (10356):921-972. [2] 陈冬梅,达·霹莉情,杨倩,等.A-D ROP评分对老年社区获得性肺炎临床结局的预测价值[J].西部医学,2023,38(1):125-129. [3] Kuluozturk M,in E,Telo S,et al.Efficacy of copeptin in distinguishing COVID-19 pneumonia from community-acquired pneumonia[J].Med Virol,2021,93 (5):3113-3121. [4] 梁振宇,陈荣昌.慢性阻塞性肺疾病诊疗指南(2021年修订版)修订历程及思考[J].中华结核和呼吸杂志,2021,44(3):165-166. [5] 薛晓艳,高占成,朱继红,等.中国社区获得性肺炎诊断和治疗指南的评价[J].北京大学学报(医学版),2006,38(3):276-279. [6] 焦桂微,刘晓民,任强,等.慢性阻塞性肺疾病合并社区获得性肺炎与慢性阻塞性肺疾病急性加重期患者的临床对比分析[J].哈尔滨医科大学学报,2021,55(6):593-597.. [7] 王彦霞,李亚轻,牛占丛,等.老年CAP患者感染病原菌分布、血浆D-D、AT-Ⅲ、PC检测以及相关危险因素分析[J].中国病原生物学杂志,2020,15(7):838-841. [8] 申春梅,冷蓓铮,刘亚隽,等.成人非典型社区获得性肺炎患者病原体感染情况分析[J].检验医学,2020,35(1):29-32. [9] 石齐芳,盛鹰,杨光耀,等.慢性阻塞性肺疾病急性加重合并呼吸衰竭患者短期预后相关合并症的初步筛选[J].实用医学杂志,2021,37(5):643-647. |
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