老年人肺炎213例临床分析

Clinical analysis of 213 cases of pneumonia in the elderly

目的探讨老年人肺炎的临床特点,提高对老年人肺炎的诊治水平。方法收集我科近两年诊治的老年人肺炎患者213例的临床资料,对其临床表现特点,治疗与转归进行总结分析。结果 213例患者中63%合并基础疾病,可以食欲不振、呕吐、心累、气紧等为主要表现,所有患者均给予抗生素治疗,同时给予吸氧、祛痰、支持及对症治疗。平均住院时间9.8d,治愈98例(46%),好转115例(54%)。结论老年人肺炎常合并各种基础疾病,临床症状不典型,容易被漏诊或误诊,病原体多为革兰阴性杆菌,所以对老年人肺炎要特别提高警惕,及早发现及时选用敏感抗生素进行治疗。

Objective Discussion the clinical features of pneumonia in the elderly,improve the lever of diagnosis and treatment of pneumonia in the elderly.Methods Collected 213 cases clinical data of elderly patients with pneumonia in our department nearly two years,summary and analysis the clinical features,treatment and prognosis.Results 63% of 213 cases combined with underlying diseases,loss of appetite,vomiting,tired heart,such as air tight may be the main performance,all patients were given antibiotic treatment,while giving the oxygen,expectorant,support and symptomatic treatment.The average time in hospital was 9.8 days,cured 98 cases（46%）,improved 115 cases（54%）.Conclusion Elderly pneumonia is often associated with variety underlying diseases,clinical symptoms are not typical,So it easily be missed or misdiagnosed.The pathogens is gram-negative bacteria mostly,so the elderly pneumonia should be especially vigilant,diagnosed timely and select sensitive antibiotics to treat it.