摘要
目的探讨老年肺炎的临床特点及影响因素,进一步提高老年肺炎的诊治水平。方法分析我院收治的135例老年肺炎的临床资料。结果 135例患者中89.6%有基础疾病,以慢性阻塞性肺疾病、高血压、冠心病最多见。老年肺炎患者咳嗽、咳痰不明显,仅占29.6%,而以乏力、食欲减退等全身症状多见,占45.9%;98.5%出现并发症,最多见电解质紊乱、肝功能损害、低蛋白血症、呼吸衰竭,48%的患者有两种以上并发症;老年社区获得性肺炎患者感染致病菌以G+球菌为主,而老年医院获得性肺炎患者感染致病菌以G-杆菌为主。结论老年肺炎起病隐袭,呼吸道症状不典型,受基础疾病及并发症等多种因素影响,重视CRP、血气分析等检查,临床使用抗生素应能够覆盖常见病原体,及时的抗感染治疗和积极治疗基础疾病和并发症可以提高治愈率。
Objective To investigate the clinical features of senile patients with pneumonia and factors that influence its progno- sis, so as to improve the level of diagnosis and treatment. Methods The clinical data of 135 patients with senile pneumonia from March to December, 2012, were retrospectively analyzed. Results 89.6% of 135 patients had underlying diseases, most of which were COPD, hypertension and coronary heart disease （ CHD）. There were 48% of the patients complicated with other diseases, which included electro- lyte imbalances, hypoproteinemia and respiratory failure. Conclusion The onset of senile pneumonia is insidious, without classical re- spiratory symptoms. The prognosis is mainly influenced by their underlying diseases and complications. It is worth paying more attention to C-reactive protein （CRP） test and arterial blood gas analysis. Basically, common pathogens are sensitive to anti-antibiotics available to- day. It is effective to improve the curative effect by giving anti-antibiotics and underlying diseases and complications treatments timely.
出处
《临床肺科杂志》
2013年第12期2214-2216,共3页
Journal of Clinical Pulmonary Medicine
关键词
老年肺炎
临床特点
影响因素
senile pneumonia
clinical features
influencing factors
