小儿脓胸临床状况调查分析

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1、授予单位代码10089学号或申请号13595HebeiMedicalUniversity硕士学位论文在职科学学位小儿脓胸临床状况调查分析学位申请人：刘叶导师：刘殿武教授专业：流行病与卫生统计学二级学院：公共卫生学院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、原始

2、数据、申报的专利等知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签名：导师签章^^^级学院领导盖章:‘士卞年月鈐曰河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章:…皮年月目录中文摘要································································

3、·············1英文摘要·············································································3研究论文小儿脓胸临床状况调查分析前言·············································································5材料与方法·······························································

4、·····6结果·············································································7附图·············································································10附表·············································································15讨论··········

5、···································································17结论·············································································28参考文献·······································································28附件·······························

6、··············································32综述小儿脓胸发病状况及治疗进展·········································35致谢···················································································42个人简历·······························································

7、··············43中文摘要小儿脓胸临床状况调查分析摘要目的：以临床病例为研究对象，探讨小儿脓胸的发展过程，临床和病原学特征，治疗方法，治疗进展，加深儿科医师对该疾病的认识，以提高小儿脓胸的整体诊治水平。方法：对河北省儿童医院胸外科2003年至2013年诊治的小儿脓胸病例进行回顾性分析。从小儿脓胸的季节性分布，年发病例数，城市农村分布，地域分布，年龄构成，性别比例，病原学，诊治变化及趋势，发病特征等进行分析，还应用流行病学方法分析小儿脓胸发生的相关因素，为小儿脓胸的预防和治疗提供依据。结果：1本院10年

8、间共收治小儿脓胸病例161例，男92例（57%），女69例（43%）。以3至6岁为发病高峰（37%）。2在收治的161名病例中，邯郸和邢台地区患者111名（69%），农村病例139名（86%）高于城市22名(14%）。冬春季病例98例(61%）多于其他季节。3由肺炎进行性加重引起者158例（98.14%）。绝大部分病例是由复杂性肺炎未得到控制发展而来。4胸水