老年肺部感染分析及对策

Analysis of Aged Lung Infection

目的 探讨老年肺部感染的临床及实验室检查特点、诊断转归及治疗。方法 对我院 1999年 10月～ 2 0 0 4年 4月期间诊断的老年肺部感染 4 8例进行回顾性分析。结果 咳嗽、痰增多占 6 0 4 % ,发热占6 8 8% ,肺部新出现的罗音或罗音较前增多占 89 6 %。血常规 :白细胞≥ 10× 10 9/L ,占 4 7 9% ,中性粒细胞≥0 80占 6 4 6 %。胸片有改变占 87 5 %。老年肺部感染治愈率 81 3% ,死亡率 18 7%。结论 老年肺部感染临床表现不典型 ,基础疾病多 ,死亡率高 ,应做到早期诊断。

Objective To explore the clinical and laboratory characteristics diagnosis and treatment of aged lung infection. Methods Retrospectively analyze the 48 cases of aged lung infection from Oct, 1999～April,2004.Results Cough more sputum 69.4%, fever 68.8%,more rales in the lung 89.6%, WBC≥10×10 9/L(47.9%),neutrophilic granulocyte ≥0.80(64.6%).there's change in chest x-ray 87.5%,the curative rate 81.8% mortality 18.8%.Conclusion The clinical manifestatcon of aged lung infection is atypical,with more basic diseases,high mortality,should be dicagnosed early.Adopt down-ladder therapy on severe patients.