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BMJ:肺炎患者是心衰的高危人群

2017-05-18 许菁 中国循环杂志

加拿大随访10年研究数据显示,社区获得新肺炎增加心衰的发病风险。肺炎患者的10年心衰患病风险为12%。研究数据显示,与无肺炎者相比,社区获得新肺炎患者的心衰发生率增加60%。本研究如以往研究结果一样,证实了老年肺炎患者的心衰风险增加,本研究还发现,在年轻患者中同样如此,住院的年轻肺炎患者的心衰风险同样高于无肺炎者,心衰风险增加5.8%。此外,年龄低于65岁的肺炎患者发生心衰的绝对风险低于65岁以上

加拿大随访10年研究数据显示,社区获得新肺炎增加心衰的发病风险。肺炎患者的10年心衰患病风险为12%。

研究数据显示,与无肺炎者相比,社区获得新肺炎患者的心衰发生率增加60%。

本研究如以往研究结果一样,证实了老年肺炎患者的心衰风险增加,本研究还发现,在年轻患者中同样如此,住院的年轻肺炎患者的心衰风险同样高于无肺炎者,心衰风险增加5.8%。

此外,年龄低于65岁的肺炎患者发生心衰的绝对风险低于65岁以上的肺炎患者。

研究纳入4988例社区获得性肺炎患者,均无心衰患者,平均年龄55岁;与年龄、性别与治疗相匹配的23060名无肺炎患者进行对照。10年间,11.9%的肺炎患者发生心衰,对照组仅7.4%。

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    2017-08-05 gaoxiaoe
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    2017-06-18 jyzxjiangqin

    肺炎患者易致心衰。

    0

  4. 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createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Fri Jun 09 22:15:00 CST 2017, time=2017-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207565, encodeId=662820e56572, content=肺炎患者易导致心衰。, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Wed Jun 07 07:27:05 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202874, encodeId=3fad2028e4f4, content=学习一下,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KwlM29ic8TDJMJOiarryMIZZhTjXxyRT9lffSWpWWcWojnL7ibJwcOn99ayict8FJ9ICYmNh9swD6R4E/0, createdBy=196f1683049, createdName=收获你的美, createdTime=Fri May 26 19:13:36 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202303, encodeId=338c202303da, content=肺炎患者是心衰的高危人群。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Thu May 25 07:19:00 CST 2017, time=2017-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=200281, encodeId=9b0520028122, content=认真学习,不断进步,把经验分享给同好。点赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat May 20 07:49:39 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199877, encodeId=45c31998e723, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Fri May 19 07:50:07 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199835, encodeId=42ac19983513, content=学习了值得关注。, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-06-09 收获你的美

    学习了谢谢分享

    0

  5. 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likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat May 20 07:49:39 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199877, encodeId=45c31998e723, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Fri May 19 07:50:07 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199835, encodeId=42ac19983513, content=学习了值得关注。, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-06-07 jyzxjiangqin

    肺炎患者易导致心衰。

    0

  6. 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likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat May 20 07:49:39 CST 2017, time=2017-05-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199877, encodeId=45c31998e723, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Fri May 19 07:50:07 CST 2017, time=2017-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=199835, encodeId=42ac19983513, content=学习了值得关注。, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-26 收获你的美

    学习一下,谢谢分享

    0

  7. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-25 jyzxjiangqin

    肺炎患者是心衰的高危人群。

    0

  8. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-20 ylzr123

    认真学习,不断进步,把经验分享给同好。点赞了!

    0

  9. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/21/39b6a0099eb602e8ac1f7e10d5d440a9.jpg, createdBy=dee01724555, createdName=杨利洪, createdTime=Fri May 19 06:44:02 CST 2017, time=2017-05-19, status=1, ipAttribution=)]
    2017-05-19 1771ae4158m

    学习一下很不错

    0

  10. 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    2017-05-19 杨利洪

    学习了值得关注。

    0

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2017年4月,发表在《CMAJ》的一项研究表明,苯二氮?类药物的使用与阿尔兹海默病患者肺炎风险的增加相关。当权衡该群体苯二氮卓类药物的风险和获益时,应予以考虑肺炎的风险。背景:苯二氮卓类药物和相似作用的非苯二氮卓类药物(Z药物)是否与老年人肺炎风险的增加相关是未知的。研究人员在社区管理的阿尔兹海默病成年患者中调查了该相关性,这些患者常使用镇静/催眠类药物,并且易发肺炎。方法:芬兰药物使用和阿尔兹

Chest:非小细胞肺癌患者采用PD-1和PD-L1抑制剂肺炎发生率有何差异?

由此可见,使用PD-1抑制剂治疗有较高的肺炎发病率,相比于PD-L1抑制剂。肺炎发生率较高常见于未接受治疗的患者。

CHEST:肺炎带来的负担现状——纽约市近五年的调查研究

虽然在纽约市(NYC)肺炎是导致死亡的主要原因,但有关纽约市肺炎现状的数据仍然有限。比非社区环境中获得的肺炎相比,在社区环境中获得的肺炎,更容易被疫苗预防,且更易被一线抗生素治疗。近期,一项发表在杂志CHEST上的研究旨在评估在2010-2014年期间,与社区获得-(CAP-),医疗保健相关-(HCAP-),医院获得-(HAP-)和呼吸机相关-(VAP-)肺炎的住院负担。研究者们对纽约市18岁及以

Lancet Respir Med:多价肺炎球菌结合疫苗对儿童侵袭性肺炎球菌疾病的影响

研究表明,使用了10价及13价疫苗后,所有血清型病毒的发病率均下降,但13价疫苗以外的肺炎球菌亚型引起疾病的发病率上升表明细菌亚型有突变的风险。对于儿童PCV10和 PCV13疫苗接种计划的长期监测至关重要。

病史采集部分-吸入性肺炎、急性呼吸窘迫综合征

简要病史: 男性,82岁,“发热伴咳嗽气促半天”就诊 问 题:   1、尚需要询问哪些相关的病史?   2、专科完整的体格检查包括哪些?   3、需要哪些必要的检查并简单叙述这些检查项目在诊断或鉴别诊断中的价值。  4、该患者可能的诊断是什么?   5、陈述诊断依据,鉴别诊断要点。治疗原则如何?

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