83例急诊科老年人肺部感染的特点和预后分析

Characteristics and prognosis of pulmonary infection in 83 elderly patients in emergency department

目的研究83例急诊科老年人肺部感染的特点以及预后分析。方法通过对本院2013年1月~2015年12月航空总医院急诊科的83位肺部感染老年人资料进行回顾性分析。结果 56例（67.46%）患者血液中中性粒细胞数量相比较正常参考值升高,69例（83.13%）中性粒细胞-淋巴细胞比值上升,74例患者C-反应蛋白升高（89.16%）,C-反应蛋白检测效果和中性粒细胞之间比较差异有统计学意义（P〈0.05）。61例（73.49%）合并其他疾病。同时单一抗生素整体治疗效果治疗效果较差。结论老年人肺部感染早期症状易忽视,并且常合并其他疾病。C-反应蛋白、中性粒-淋巴细胞比值联合肺部影像学能够较为准确的反应老年人肺部感染。早发现早治疗,联合使用抗生素可以提高预后疗效。

Objective To study the characteristics and prognostic analysis of 83 cases of pulmonary infection in elderly patients in emergency department. Methods Thirty-eight elderly patients with pulmonary infection from January 2013 to December 2015 in our hospital were retrospectively analyzed. Results The number of neutrophils increased in 56 patients（ 67. 46%）,the neutrophil-lymphocyte ratio increased in 69 patients（ 83. 13%）,and C-reactive protein increased in 74 patients increased（ 89. 16 %）. There was significant difference between C-reactive protein detection and neutrophil count（ P〈 0. 05）. 61 cases（ 73. 49%） were complicated with other diseases. While the effect of a single antibiotic treatment is less effective. Conclusion The early symptoms of pulmonary infection in the elderly are easy to ignore,and often associated with other diseases. C-reactive protein,neutrophillymphocyte ratio combined with lung imaging can be more accurate response to the elderly pulmonary infection. Early detection and early treatment,combined use of antibiotics can improve the prognosis.