67例老年人肺部感染临床分析

Clinical analysis pulmonary infection in 67 elderly patients

目的研究老年人肺部感染的相关因素、临床特点、治疗及预后。方法对近两年我科收治的67例老年肺部感染病例进行回顾性分析。结果老年肺部感染其发病及预后与患者的意识状态、营养状况、留置胃管、住院时间及并发症有关;其临床表现常不典型;病原菌分布以革兰氏阴性杆菌为主,但真菌及混合感染也并不少见;经治疗痊愈或好转61例,死亡6例。结论对老年人尤其有危险因素者应加强护理,仔细观察病情变化,尽可能做到早诊断、早治疗,治疗宜用相对广谱的、对肝肾功能影响小的抗生素,同时应加强营养支持治疗,积极控制并发症,减少死亡率。

Objective To study the related factors, clinical feature, ther apy and prognosis in elderly patients with pulmonary infection. Methods 67 e lderly patients with pulmonary infection in our ward in recent two years were an alyzed retrospectively. Results The episode and prognosis in elderly patient s with pulmonary infection were correlated with conscious state, nutritional sta tus, gastric canal detained, length of stay and complications. The clinical feat ure of pulmonary infection in elderly patients was not typical. Gram-Negative ba cillus infection was prevalent, but fungi and mixed infection were not a few, 61 patients had cured or taken a turn for the better, and 6 patients had died. C onclusion It is important to observe the change of patient′s condition carefu lly, intensify nursing care for elderly patients, especially the patients with r isk factors. It should achieve early diagnosis and early therapy, use relative b road-spectrum antibiotics with little ill effect of liver function and renal fun ction, and intensify nutritional support and control complications actively.