老年肺炎的临床防治探讨

To explore the elderly pneumonia the clinical prevention and treatment

目的:探讨老年肺炎的临床特点、高危因素,以期有益于老年肺炎的临床防治。方法:对近三年来收治的252例老年肺炎患者进行回顾性分析,与同时期入院的96例非老年(青壮年)肺炎患者进行比较分析。结果:合并基础疾病、肾功能异常、呼吸衰竭、出现并发症、需用呼吸机及高龄(≥80岁)均是增加死亡率的高危因素。结论:老年肺炎治疗时,经验用药抗生素可首选第三代头孢菌素,发现增加死亡率的高危因素尽早干预治疗,改善预后,并应注重预防。

Objective：To explore the clinical characteristics of the elderly pneumonia, risk factors, with a view to benefit the elderly pneumonia prevention and treatment. Methods：For the past three years, the hospital treated 252 cases of elderly patients with pneumonia retrospective analysis, with the same period, 96 cases oi admission of non-elderly （young adults） pneumonia patients were compared. Results ：Based on the merger disease, renal dysfunction, respiratory failure and complications, required ventilator and senior citizens （〉i 80 years old） are increased mortality risk factors. Conclusion ：The treatment of pneumonia at the experience of antibiotic treatment may have preferred the first third-gen- eration cephalosporins, found increased mortality risk factors for early intervention treatment, improve the prognosis, and should focus on prevention.