慢性精神分裂症患者合并肺部感染临床资料分析

摘要

Objective To explore clinical features of chronic schizophrenic with pulmonary infection (PI) .Methods Clinical data of 162 chronic schizophrenics with PI were retrospec‐tively analyzed .Results Among them 124 ones suffered from segmental pneumonia and 38 chronic pulmo‐nary infection .Acute pneumonia was common in middle‐aged young persons with course of psychosis < 3 years ,middle lobe of right lung and ligula of left lung were main infection sites ,they all revered after symptomatic treatment ;chronic infection was common in middle‐aged and old persons with course > 3 years ,lobus inferior pulmonis of two lungs ,basis pulmonalis and two sides of backbone were main infec‐tion sites ,cure rate was 71 .1% after symptomatic treatment ,and disappearance rate of clinical symptoms 28 .9% .Conclusion Pulmonary infection rate of schizophrenics is higher ,clinical symptoms are atypical , effective prevention and control measures should be made to reduce the development of infection .%目的：探讨慢性精神分裂症患者合并肺部感染的临床特征。方法对162例慢性精神分裂症合并肺部感染患者的临床资料进行回顾性分析。结果162例肺部感染者，其中节段性肺炎124例，慢性肺部感染38例。急性肺炎以中青年，精神病病程＜3 a居多，感染部位以右肺中叶和左肺舌叶为主，对症治疗后均痊愈；慢性感染以中老年多见，精神病病程＞3a，感染部位以两肺下叶、肺底及脊柱两旁慢性感染为主，对症治疗后痊愈率为71．1％，临床症状消失率为28．9％。结论精神分裂症患者合并肺部感染率较高，临床症状不典型，应制定有效的预防和控制对策，减少感染的发生。