摘要
目的探讨老年吸入性肺炎病因及临床特点。方法对我院收治的36例老年吸入性肺炎患者的临床资料进行分析。结果 36例患者中治愈19例(占52.77%),好转4例(占11.11%),死亡10例(占27.77%),放弃治疗3例(8.33%)。临床表现以发热25例(72.2%)、咳嗽、咳痰24例(66.7%)为著;病原学:革兰阴性杆菌:铜绿假单胞菌14株(38.9%),大肠埃希菌12株(33.3%),肺炎克雷伯菌6株(16.7%);革兰阳性球菌:金黄色葡萄球菌4株(11.1%)、肺炎链球菌3株(8.3%);真菌:白色念珠菌10(27.8%)、曲霉菌9株(25%)。结论老年吸入性肺炎在临床较为常见,以隐性吸入者居多,临床表现不典型,且病死率较高。
Objective To explore the cause and clinical features of elderly patients with aspiration pneumonia.Methods The clinical data of 36 elderly patients with aspiration pneumonia were retrospectively analyzed.Results 19 cases（52.77%） were cured,4 cases（11.11%） were improved,and 10 deaths（27.77%） reported.Besides,3 cases（8.33%） gave up the treatment.The clinical manifestations mainly were fever（25 cases）,and cough and sputum（24 cases）.Gram-negative bacilli included 14 strains of pseudomonas aeruginosa（38.9%）,12 strains of escherichia coli（33.3%）,and 6 strains of klebsiella pneumoniae（16.7%）.Gram-positive coccus included 4 strains of staphylococcus aureus（11.1%） and 3 strains of streptococcus pneumoniae（8.3%）.Fungi included 10 strains of candida albicans（27.8%） and 9 strains of aspergillus（25%）.Conclusion Senile aspiration pneumonia is a common disease in clinic,mostly of whom are recessive inhaler.Its clinical manifestations have no specificity,but it has a relatively high mortality.
出处
《临床肺科杂志》
2013年第5期876-877,共2页
Journal of Clinical Pulmonary Medicine
关键词
老年人
吸入性肺炎
诊断
治疗
elderly patients
aspiration pneumonia
diagnosis
treatment
