老年休克型肺炎23例临床诊治分析

Clinical diagnosis analysis of 23 cases of senile pneumonia of shock

目的探讨老年休克型肺炎的临床特点、救治方法及经验。方法回顾性分析2009年3月～2011年12月在我院救治的23例老年人休克型肺炎的临床资料。结果老年休克型肺炎患者临床症状不典型,早期诊断难度较大,23例老年休克型肺炎抢救成功17例,死亡6例,死亡率26.09%。结论老年休克型肺炎症状不典型,特征性表现少,病死率高,预后差,早期及时诊断和治疗是抢救成功的关键。

Objective To evaluate the clinical characteristics, treatment methods and experience of senile pneumonia of shock. Methods The clinical material of 23 patients treated in our hospital from March 2009 to December 2011 were analysed retrospectively. Results Elderly patients with pneumonia of shock clinical symptoms were not typical, early diagnosis was difficult, 23 cases of elderly shock pneumonia rescued success of 17 cases, 6 cases of death, and mortality was 26.09%. Conclusion Shock symptoms of pneumonia in the elderly is not typical, characteristic small, high case fatality rate, poor prognosis, early diagnosis and treatment is the key to successful treatment in time.