摘要
目的：探讨80岁以上老年人肺部感染特点、相关性疾病、病原菌及预防措施。方法对104例80岁以上老年肺部感染患者的临床资料进行回顾性分析，统计分析主要临床表现、伴随疾病及致病菌。结果吸入性肺炎（AP）77例（74．0％），慢性呼吸系统疾病仅占26．0％，多伴有严重心脑血管疾病、认知障碍、慢性胃肠疾病（胃炎、反流性食管炎、胃肠功能障碍、便秘）、长期卧床、不能自理；痰液细菌培养分离出66（63．5％）株菌株，其中革兰阳性球菌18株（27．3％），革兰阴性杆菌38株（57．6％），真菌15株（22.7％）。结论80岁以上老年人肺部感染以吸入性为主，应加强误吸的防范意识，尤其是伴有呛咳、慢性胃肠疾病患者，根据病原菌检查结果，合理应用抗生素。
Objective To explore the clinical features,related diseases,,etiology of inhalation pneumonia and premonition of lung infection in patients age 80 and over.Methods The 104 patients over 80 years old with pulmonary infection were analyzed retrospectively,statistical analysis of the main clinical manifestations,associated diseases and pathogens.Results Aspiration pneumonia （AP）in 77 cases （74%）,Chronic respiratory disease accounted for only 26%,mostly associated with serious cardiovascular and cerebrovascular diseases,cognitive disorder,Chronic gastrointestinal diseases（Gastritis,reflux esophagitis,gastrointestinal dysfunction,constipation）,long-term bed,Can not take care of themselves.Sputum bacterial cultures isolated from 66 （63.5%）strains,Gram positive cocci were 18 strains （27.3%）,Gram negative bacilli were 38 strains （57.6%）,Fungal strains were 15 strains （22.7%）.Conclusion In the elderly over the age of 80,pulmonary infection mostly occured by Aspiration pneumonia.We should strengthen the awareness of Aspiration pneumonia,especially accompanied by cough,chronic gastric disease.Take reasonable application of antibiotics according to the pathogen test results.
出处
《中国基层医药》
CAS
2015年第13期2001-2003,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
吸入性肺炎
相关基础疾病
老年人
Aspiration pneumonia
Related primary disease
Patients age 80 and over
