摘要
目的:探讨老年人肺炎的临床诊治特点。方法:2011年5月-2013年5月收治老年人肺炎患者50例,与同期收治中青年人肺炎46例的临床资料进行回顾性分析。结果:有基础疾病32例,发生并发症10例,痊愈8例,显效14例,有效20例,死亡8例。结论:咳嗽、咳痰、肺部湿性啰音是老年人肺炎的主要临床表现。寒战、高热、胸痛等症状少见,非呼吸道症状突出。胸片及肺部CT扫描是诊断的重要指标。老年人肺炎原有基础疾病多,并发症多且重,预后较差,应加强综合治疗。
Objective:To explore the clinical characteristics of diagnosis and treatment of pneumonia in the elderly.Methods:The clinical data of 50 cases pneumonia in the elderly and 46 cases of pneumonia in the young people during the same period treated from May 2011 to May 2013 were analyzed retrospectively.Results:32 cases with basic diseases,complications occurred in 10 patients,8 cases were cured,14 cases were marked effect,20 cases were effective,8 cases of death.Conclusion:Cough,sputum,moist rale of lung were the main clinical symptoms of pneumonia in the elderly.Chills,fever,chest pain and other symptoms were rare, non respiratory symptoms were obvious.Chest X-ray and lung CT scan is an important index for the diagnosis.Pneumonia in the elderly with higher original underlying diseases, complications are more and severe,the prognosis is poor,comprehensive treatment should be strengthened.
出处
《中国社区医师》
2015年第7期31-31,33,共2页
Chinese Community Doctors
关键词
肺炎
老年人
临床特点
Pneumonia
The elderly
Clinical characteristics
