摘要
目的 分析老年人社区获得性肺炎（CAP）临床资料．为临床诊治提供依据。方法 回顾性调查2004年1月至2005年11月住我院的103例CAP患者的临床资料，分析其基础疾病、临床特点、病原菌分布情况。结果 103例CAP患者中男78例。女25例，年龄40—91岁，平均（67．49±27．5）岁。根据年龄分为老年组80例，非老年组23例。老年组CAP患者的基础疾病以高血压、冠心痛、脑血管疾病最为常见。老年组入院后做痰培养60例，送检率58．3％，检出病原菌13株，检出率21．7％，其中肺炎克雷白菌6株，铜绿假单孢菌3株，大肠埃希氏菌2株，表皮葡萄球菌3株，肺炎链球菌1株。结论 基础疾病多、临床表现不典型是老年人CAP特点之一。老年CAP患者痰培养送检率及培养阳性率低。应强调早期诊断并尽早根据经验使用抗生素治疗，同时加强全身营养支持治疗。
Objective To investigate the charactertistics of elderly patients with community-acquired pneumonia （CAP） ,and to facilitate and promote the CAP management. Methods Restrospective study was performed on the clinical data of 103 inpatients with CAP, including their underlying disease,clinical features and pathogenic bacteria. Results The age of 103 cases,78 males,25 females, ranged from 40 -91 years, with an average age of 69.49±27.5 years. The patients were classified into elderly group （ 1〉 60 years, 80 cases） and non-elderly group （≤59 years, 23 cases）. The complex and severe concomitant diseases, such as hypertension, coronary heart disease occurred in the elderly group. Strains of pathogenic bacteria were detected in 60 cases of elderly group. Conclusions The elderly with CAP mostly have atypical clinical manifestation and more concomitant diseases. Pathogens in most CAP cases cannot be isolated. Early diagnosis and administration of antibiotics are important for CAP. So is total nutrition.
出处
《实用老年医学》
CAS
2006年第6期401-402,共2页
Practical Geriatrics
关键词
肺炎
社区获得性感染
老年人
Pneumonia
Community-acquired infections
Aged
