对31例老年败血症患者的临床分析

目的:探讨老年败血症患者的临床特征,危险因素,致病菌谱分析。方法:对我科2005年12月至2010年1月期间,31例经血培养及临床证实的老年人败血症患者的资料进行回顾性分析。结果:31例老年败血症患者中,女性19例,男性12例,年龄63-92岁,合并一种以上基础疾病有29例,其占93.5%。患2型糖尿病占43%,心血管疾病占43%,胆道或尿道结石占26%,其大肠埃希杆菌11株,肺炎克雷伯7株,鲍曼不动杆菌2株,人葡萄球菌6株,铜绿假单胞菌3株,金黄色葡菌2株。结论:老年败血症患者临床表现不典型,病死率高,预后差,其早期准确诊断及早期综合治疗能提高治愈率。

Objective： To investigate the chnical characteristics of elderly patients with sepsis, risk factors, pathogen spectrum analysis.Methods： The subjects from December 2005 to January 2010 31 cases of blood culture and clinical sepsis confirmed by the elderly patients were retrospectively analyzed.Results： 31 elderly patients with sepsis patients, 19 females, 12 were males, aged 63-92 years, more than one underlying diseases combined 29 cases, accounting for 93.5%.There are 43% of type 2 diabetes, cardiovascular disease, 43%, 26% of biliary stones or urinary tract, Escherichia coli 11, 7 K. pneumoniae, Acinetobacter baumannii 2, were Staphylococcus aureus 6, PseudomonasPseudomonas 3, golden yellow Pu bacteria 2.Conclusion： Elderly atypical clinical manifestations of sepsis, high mortality, poor prognosis, early and accurate diagnosis and early treatment can improve the cure rate of synthesis.