摘要
目的探讨老年人重症肺炎并发肝功能损害的原因和治疗。方法回顾分析解放军第八五医院院2006年1月—2009年6月收治的48例社区获得性老年人重症肺炎患者的临床资料。结果48例老年人重症肺炎患者中,20例(41.7%)出现肝功能损害,治愈及好转者为45.0%;而28例不伴有肝功能损害的重症肺炎,治愈及好转者为75.0%,两组比较差异有统计学意义(P<0.05);肝功能损害组的酸中毒发生率显著高于无肝功能损害组(35.0%vs7.1%,P<0.05)。结论老年人重症肺炎常并发肝功能损害,需要临床医生及时诊断和积极治疗。
[ Objective ] To investigate the cause and therapy of severe pneumonia complicated with liver injury in elderly patients. [Methods] Retrospective analysis was carried out on the data of 48 elderly patients with community-acquired severe pneumonia. [ Results] Among 48 severe pneumonia patients, liver injury was found in 20 （41.7% ） cases with 45.0% cure or improvement cases, and there were 75.0% cure or improvement cases in 28 patients without liver injury, the difference was significant （ P 〈 0.05 ）. The incidence of acidosis in liver injury group 1 35.0% ） was higher than that in non-liver injury group （7. 1% ） significantly （ P 〈 0.051 ） [ Conclusion ] The severe pneumonia complicated with liver injury in elderly patients was frequent, and timely diagnosis and active treatment should be adopted.
出处
《职业与健康》
CAS
2010年第4期473-474,共2页
Occupation and Health
关键词
重症肺炎
肝功能损害
老年人
Severe pneumonia
Liver injury
Elderly patients
