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 Wysłany: Czw 11:53, 10 Mar 2011 Temat postu: Epidemic hemorrhagic fever during pregnancy misdia |
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Epidemic hemorrhagic fever during pregnancy misdiagnosed as acute fatty liver of pregnancy
74. [2] Yang is loose. Hemorrhagic fever with renal syndrome [M]. Beijing: People's Medical Publishing House, 1999:487 -. 491. [3] LIU Shu Xiang, Yang Weijun. Acute fatty liver of pregnancy with cases of successful treatment [J]. Chinese Journal of Gynecology and Obstetrics, 2002,[link widoczny dla zalogowanych],18 (6): 381. (Received Time :2009-04-0 community-acquired pneumonia in elderly clinical analysis of 183 cases of school seats Li (Affiliated Hospital of Guiyang Medical College, Guiyang 550004) [Key words] pneumonia; community-acquired infections; elderly; diagnosis; treatment [of CLC] R563.1 [Document code] B [Article ID] 1002-3429 (2009) 07-0023-02 community acquired pneumonia (communityacquiredpneumonia, CAP) is a threat to human life and health of one of the major diseases, the elderly Because decreased immunity,[link widoczny dla zalogowanych], organ dysfunction, underlying diseases and more, resulting in a high incidence of CAP. Our hospital in January 2008 to 12 months 263 patients hospitalized because of CAP,[link widoczny dla zalogowanych], CAP is the basis of disease,[link widoczny dla zalogowanych], old age, clinical features, pathogen distribution, and report as follows. 1 Data and method 1.1 Case Selection in January 2008 to 12 months hospitalized CAP patients in our hospital, 263 cases are in line with the Chinese Medical Association credits respiratory disease will develop a diagnostic criteria. ... In 263 cases, 150 cases of male and female 113 cases; aged 19 to 94 years old. Under the age of 183 patients were divided into elderly group (> 60 years), male 106 cases, female 77 cases; age of 61 to 94 years, mean (76.6 ± 12.5) years. Non-elderly group (≤ 60 years) 80 patients, 44 males and 36 females; aged 19 to 60 years, mean (34.6 ± 10.3) years. 1.2 Methods Retrospective analysis of two groups of CAP patients with clinical manifestations, underlying diseases, pathogen distribution and treatment and prognosis. The results as mean ± standard deviation (± S), said SPSS10.0 statistical package used for statistical analysis. 1.3 The clinical findings 1.3.1CAP performance: 183 cases in the older group, 74 cases of cough, sputum 63 cases, 56 cases of fever, gastrointestinal symptoms (nausea, vomiting, anorexia) 46 cases of disturbance of consciousness 38 cases of chest pain in 12 cases. 80 cases of non-elderly group, 67 cases of cough, sputum in 62 cases, 54 cases of fever, chest pain in 35 cases, no disturbance of consciousness and gastrointestinal symptoms. Elderly group, cough, sputum, fever,[link widoczny dla zalogowanych], chest pain was significantly less than non-elderly group (P 0.05). Due to the limited laboratory conditions, not the line mycoplasma, chlamydia, legionella infection and pathogen detection. 1.3.4 Treatment and prognosis: older 166 cases were cured and improved, and 9 died, 8 patients gave up treatment, the average hospital stay (26.5 ± 3.2) days. Non-elderly group were cured or improved, no deaths, the average hospital stay (12.2 ± 2.1) days. The difference between the two groups was statistically significant outcome (P <0.01). Elderly group, 38 patients with respiratory failure, multiple organ failure in 6 cases, 5 cases of septic shock, severe water and electrolyte disturbance in 23 cases; non-elderly group with respiratory failure in 3 cases, 2 cases of severe water and electrolyte disturbance. Difference between the two groups there were significant complications (P <0. A pair). * 23 *
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