老年人肺炎62例临床分析

目的探讨老年人肺炎的临床特征,以提高诊治水平。方法对62例住院老年人肺炎的临床表现、辅助检查结果及治疗转归进行分析,并与同期住院的54例中青年肺炎进行比较。结果老年人肺炎起病隐匿,临床表现多不典型,慢性基础疾病较多,特异性体征较少,发病以冬春季为主,并发症多,易延误诊断及治疗,死亡率较高。结论在临床工作中应提高对老年人肺炎临床特征的认识,提高其诊治的及时性和正确率,以减少漏、误诊率及死亡率。

Objective To investigate the clinical characteristics of senile pneumonia, in order to improve the level of diagnosis and treatment： Methods 62 patients with senile pneumonia clinical manifestationl auxiliary examination results and treatment outcomes were analyzed, 54 cases of pneumonia in young and hospitalized compared. Results the elderly pneumonia onset occult, atypical clinical manifestations, many chronic diseases, specific signs less, incidence in winter and spring, more complications, it is easy to delay the diagnosis and treatment, mortality. Conclusion In clinical work should improve the understanding of clinical characteristics of senile pneumonia, improve the timeliness and accuracy of diagnosis and treatment, in order to reduce the leakage, the misdiagnosis rate and mortality.