摘要
目的探讨老年克雷伯杆菌肺炎的临床特点。方法回顾性分析我院收治的37例老年克雷伯杆菌肺炎。结果 37例患者中,男29例,女8例,临床表现以发热、咳嗽、咳痰、胸闷、气急及胸痛多见。胸部X线以小斑片状阴影为多,经纤支镜灌洗液培养阳性率最高,达88.9%(8/9),其次痰培养阳性率83.8%(31/37),血培养阳性率34.4%(11/32)。产ESBL细菌13株,占25.5%(13/51),治疗总有效率81.1%(34/37)。结论老年克雷伯杆菌肺炎临床表现无特殊性,住院时间较长、病死率高,应早诊断,早治疗,以降低死亡率。
Objective To explore the clinical features of klebsiella pneumonia in the elderly. Methods The clinical data of 37 cases of aged patients with klebsiella pneumonia in our hospital were retrospectively analysed. Results Clinical manifestations included fever, cough, spit sputum, chest tightness, dyspnea and chest pain. Small patchy shadows could often be seem on, chest X-ray film. The positive bacterial culture rate was 88.9% （8/9） in fiberbronchoseope lavage fluid, followed by sputum culture 83.8% （31/37）, blood culture 34.4% （11/32）. 13 strains of bacteria showed ESBL positive accounting for 25.5% （ 13/51 ）. The total effective rate was 81. 1% （34/37）. Conclusion Klebsiella pneumonia in elderly had non-specific clinical manifestations. The longer the hospitalization was, the higher the mortality was.
出处
《临床肺科杂志》
2011年第5期670-671,共2页
Journal of Clinical Pulmonary Medicine
