摘要
目的:探讨老年人重症肺炎的临床特征与预后。方法:收治老年重症肺炎患者34例,对临床资料、实验室及影像学检查和治疗过程进行回顾性分析。结果:34例患者中25例治愈,9例死亡,死亡率26.5%。18例予以气管插管机械通气进行治疗,13例成功脱机。结论:老年重症肺炎临床特征不典型;白细胞升高较少,中性粒细胞多升高,易并发电解质紊乱,痰培养以革兰阴性杆菌检出率高。预后与并发基础疾病有关。
Objective：To explore the clinical features of elderly patients with severe pneumonia and prognosis.Methods：34 cases of elderly patients with severe pneumonia in patients with the clinical data,laboratory and imaging examination and treatment were retrospectively analyzed.Results：All elderly patients 25 cases were cured,9 cases of death,mortality rates for 26.5%.In 18 cases to endotracheal intubation mechanical ventilation treatment,13 cases of successful offline.Conclusion：The clinical characteristics of elderly patients with severe pneumonia atypical;white blood cells less elevated,elevated neutrophil much,easy and generating electrolyte disorder,sputum culture to gram-negative bacilli high detection rate.Prognosis of patients with complicated underlying diseases.
关键词
重症肺炎
老年患者
诊治
Severe pneumonia
Elderly patients
Diagnosis and
