The Clinical Characteristics Change Of Hospitalized Patients With Community-acquired Pneumonia In Early Spring In2013

Objective Retrospective analysis on the clinical characteristics on February1toMarch31, in Shanghai Sixth people’s hospital of hospitalized patients withcommunity acquired pneumonia (CAP), collection including age, hospitalization days,related clinical symptoms such as cough，phlegm, vital signs on admission, thehighest temperature, the CURB-65score on admission, etc., and white blood cellcount, hemoglobin, platelet, lymphocyte count, blood gas analysis laboratory indexbefore and after the treatment, chest CT as a result, and whether the patient has amerger of high blood pressure, coronary heart disease, diabetes, COPD, basic diseasessuch as cerebral infarction. Comparison the clinical difference in2013and in2012atthe same time of hospitalized patients with CAP.Methods Selection on February1to March31with CAP for the first diagnosisof Shanghai sixth people’s hospital wards of all adult patients with a total of194cases,and the group of patients with the same period in2012, a total of104cases werecompared.Results In2013patients hospitalized patients with CAP have a greaterpercentage of fever; On admission, heart rate slower, the frequency of breathing faster;But a cough with phlegm and cough up phlegm decline; Group in2013patients with chest CT performance for a higher proportion of the interstitial pneumonia, Group in2013patients with CURB-65score higher on admission and hospitalization dayslonger. In2013the proportion of patients without basic diseases increased.Conclusion On February1to March31, in Shanghai sixth people’s hospital theclinical characteristics of patients with CAP changed in2012;2013group withoutbasic diseases in patients with CAP, and conforms to the indications increased theproportion of patients with admission, the patient’s CURB-65score higher, longerhospitalization days, suggesting in2013patients with CAP, might be more strongpathogenic infection by pathogens. In2013a higher proportion of patients with CAPfever, cough up phlegm and cough up yellow sputum less proportion, chest CTprompted an even greater percentage of interstitial pneumonia; The clinicalcharacteristics of patients with CAP varies change with the pathogens of infection,early to determine the disease-causing pathogens is of great guiding significance inclinical.