摘要
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.
出处
《中国生化药物杂志》
CAS
2017年第7期387-388,共2页
Chinese Journal of Biochemical Pharmaceutics
关键词
急诊科
肺部感染
诊断
预后分析
emergency department
pulmonary infection
diagnosis
prognosis