老年人绿脓假单胞菌肺炎的特征及治疗

Clinical Analysis and Therapy in Senile Patient with Pyocyanic Pneumonia

对20例老年和14例中青年绿脓假单胞菌肺炎患者的临床资料进行对比分析，结果显示：老年组病死率及治疗无效率在各类细菌感染中仍属最高；其病情常进行性加重，较中青年组预后差（P＜0．05）。对于有严重基础疾患、出现严重呼吸困难的老年肺炎患者，应及早作细菌学检查，以确定是否有绿脓假单胞菌感染，而不宜仅凭咳痰颜色判断；丁胺卡那霉素、氧呱嗪青霉素等治疗仍有良好效果，但需联合用药，同时还必须采取其他综合性治疗措施。

20 cases of senile pyocyanic pneumonia were investigated retrospectly and compared with 14 juvenile patients with the same disease. Results showed that the mor bidity rate of senile pyocyanic pneumoia was the highest among the other kinds of bacte rial pneumonia, and the rate of unfavourable prognosis was significantly higher than that of juvenile group (P<0.05). It was also suggested that bacterioscopy should be done, if senile pneumonia patients with serious basic disease had the symptom of exacer bative dyspneic respiration which couldn't be controled by complex treatment. Pseu domonas aeruginosa is still sensitive to some antiboitics such as Amikacin and Piperacillin however combined treatment with antiboitics are more efficient.