本文报告我院1977年1月至84年1月治疗的大肠杆菌肺炎15例。全部病例符合下列诊断标准:①临床上有呼吸道症状或/和体征;②X线显示肺部炎症改变;③痰或血培养连续3次或3次以上有大肠杆菌生长。 15例中男性11例,女性4例,年龄42～76岁,>60岁者占53.3％。本组全部病例均为院内继发性感染,而且原发病较重,其中慢性肺原性心脏病4例,慢性支气管炎伴感染2例,支气管扩张伴感染、直肠癌术后腹壁窦道形成、回盲部恶性肿瘤术后感染、急性坏死性胰腺炎术后并发AR0s(成人呼吸窘迫综合征)、风湿性心脏病、肝硬化腹水、急性脊髓炎、多囊肝并大肠杆菌败血症以及肾病综合征各l例。儿乎都有诱发因素:因 This article reports 15 cases of E. coli pneumonia treated in our hospital from January 1977 to January 2004. All cases meet the following diagnostic criteria: ① clinically respiratory symptoms and / or signs; ② X-ray showed changes in lung inflammation; ③ sputum or blood culture for three or more consecutive times have E. coli growth. Among 15 cases, 11 were male and 4 were female, ranging in age from 42 to 76 years and 53.3% were> 60 years old. All patients in this group were secondary to nosocomial infection, and the primary disease was severe, of which 4 cases of chronic pulmonary heart disease, chronic bronchitis with infection in 2 cases, bronchiectasis with infection, rectal cancer postoperative abdominal sinus , Ileocecal malignant tumor postoperative infection, acute necrotic pancreatitis complicated by AR0s (adult respiratory distress syndrome), rheumatic heart disease, cirrhosis, acute myelitis, polycystic liver disease and colitis and nephrotic syndrome Sign each l cases. Almost all have triggers: because