近年来黄山地区老年社区获得性肺炎临床特征分析

Analysis of clinical features of local elderly patients with community-acquired pneumonia

目的探讨近年来黄山地区老年社区获得性肺炎的临床特征。方法收集住院的社区获得性肺炎患者120例,其中老年组60例,青中年组60例;回顾性分析两组临床特征如发病季节、首发症状、合并基础疾病、体征、辅助检查、治疗及预后等,比较两组间异同。结果老年社区获得性肺炎与青中年组临床特征比较有着明显不同,老年组:冬春季好发;首发症状不典型,呼吸系统症状不典型;并发症多;胸部影像中肺部炎症以多叶及双叶病变为主;白细胞升高不明显;致病菌为混合性,革兰氏阴性杆菌居多;病情重、疗程长;死亡率高。结论近年来本地区老年社区获得性肺炎临床特征发生了一些变化,应加强对该病的认识,及时正确的诊断并制定合理的治疗方案;从而提高治疗成功率,降低死亡率。

Objective To explore the clinical features of local elderly community-acquired pneumonia in Huangshan area. Methods 120 patients with community-acquired pneumonia were selected in this study, which included 60 cases of elderly people and 60 cases of young people. Their clinical features were retrospectively analyzed, such as season, starting signs, basic diseases, symptoms, auxiliary examination, treatment and prognosis. Results It found the elderly community-acquired pneumonia patients had significant differences compared with the young group, such as easily occurred in winter; without typical symptoms of respiratory system, more complications. Chest lung inflammation in the image is given priority to multi-leaves or double leaves lesions. White blood cells increase was not obvious. Pathogenic bacteria was mixed. Gram negative bacilli was the main bacteria. The senile group had severe illness, long course of treatment and high mortality. Conclusion The clinical features of senile patients with community-acquired pneumonia change a lot. The reasonable treatment plans should be given to improve the treatment success rate and reduce mortality.