摘要
目的对高龄老年社区获得性肺炎进行分析,以提高高龄老年社区获得性肺炎的诊治水平。方法对84例≥80岁老年社区获得性肺炎患者的临床资料进行回顾性分析。结果高龄老年社区获得性肺炎的临床表现不仅缺乏发烧、胸痛等典型症状而且缺乏典型的体征如肺部啰音等;实验室检查结果和影像学检查也不具有典型性,易出现水、电解质和酸碱平衡紊乱,呼吸衰竭,低蛋白血症,心律失常、休克等严重并发症,死亡率高。结论由于高龄老年社区获得性肺炎患者表现较为复杂,临床上不易辨识,会造成治疗上的延误,增加了病死率。临床医生要加强对不典型高龄老年社区获得性肺炎患者的认识,做到早期发现,早期诊断,早期治疗,从而提高治愈率,降低死亡率。
Objective To analyze senile community acquired pneumonia and improve its diagnosis and treatment. Meth- ods 84 patients （ I〉 80 years） with senile community acquired pneumonia were retrospectively reviewed and their clinical data analyzed. Results The clinical manifestations of senile community acquired pneumonia were absent from not only typical symptoms such as fever and chest pain, but also the typical physical sign such as pulmonary rales. Laboratory tests and imaging examination were not typical. Water, electrolyte and acid-base balance disorders, respiratory failure, hypoalbuminemia, arrhyth- mia,shock and other serious complications were prone to occur and the mortality was high. Conclusion Since the clinical manifestation of senile community acquired pneumonia is quite complex and not easy to identify, it can often cause treatment delays and increased mortality rate. Clinicians should strengthen the awareness to typical senile community acquired pneumonia to ensure early identification, early diagnosis and early treatment.
出处
《淮海医药》
CAS
2012年第3期215-217,共3页
Journal of Huaihai Medicine
