老年吸入性肺炎54例临床分析

Clinical Analysis of 54 Elderly Patients with Aspiration Pneumonia

目的:探讨老年吸入性肺炎的临床特点及预防对策。方法:对笔者所在医院收治的54例老年吸入性肺炎患者临床资料进行回顾性分析。结果:老年吸入性肺炎患者基础疾病多,如神经系统疾病56例,慢性阻塞性肺疾病31例,高血压病30例,且以合并3种及以上基础疾病(40例)为多。临床表现不典型,以精神萎靡(44例),不思饮食(32例),发热(30例)居多。治疗效果差,54例患者中治愈25例,好转10例,死亡19例。结论:老年吸入性肺炎的预防尤为重要。

Objective： To investigate the clinical features and prevention strategies of elderly patients with aspiration pneumonia.Method： The clinical data of 54 elderly patients with aspiration pneumonia were retrospectively analyzed.Result： The elderly patients with aspiration pneumonia accompanied their basic diseases, especially nervous system diseases（56 cases）, chronic obstructive pulmonary diseases（31 cases ）, hypertension（30 cases）, and the majority （40 cases ）of the patients accompanied three and above of these diseases.The clinical manifestations were mental decline（44 cases）, having no appetite（32 cases）, fever（30 cases）.After the treatment, 25 cases were cured, 10 eases were improved and 19 cases died.Conclusion： The prevention is very important for elderly patients with aspiration pneumonia.