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在分析我院肺炎住院病例情况时,曾发现80年代头3年收住的肺炎病例较60年代同期增加62.7％,肺炎的病死率也从60年代初期的3.53％上升到80年代同期的9.88％。当前许多人都热衷于研究少见病与疑难病症,对于古老的常见病肺炎甚少有人问津。但是,在当今抗生素时代,肺炎的病死率仍如此之高,值得引起注意。我认为要更好地处理肺炎,应从三个方面着手:(1)正确估计肺炎病原体的演变规律;(2)重视肺炎病因学诊断;(3)合理选用抗生素。
In analyzing the hospitalized cases of pneumonia in our hospital, we found that pneumonia admitted in the first three years of the 1980s increased by 62.7% over the same period of the 1960s. The mortality rate of pneumonia also increased from 3.53% in the early 1960s to 9.88% in the same period of the 1980s. . At present, many people are keen to study the rare and difficult diseases, rare for the common disease of pneumonia. However, in today’s era of antibiotics, mortality from pneumonia is still so high that deserves attention. I think to handle pneumonia better, we should start with three aspects: (1) Correctly evaluate the evolution of pneumonia pathogens; (2) Pay attention to the diagnosis of pneumonia; (3) Use antibiotics reasonably.