摘要
目的：观察老年吸人性肺炎患者的临床现况。方法：收集2009年7月-2013年7月期间我院老年科住院治疗的老年吸人性肺炎患者85例，记录患者临床表现、基础疾病以及合并症，分析病原菌特点及预后。结果：分析85例患者发现，老年吸人性肺炎临床表现不典型，以精神萎靡、意识差为主（59％），最多见基础疾病为中枢神经系统疾患（占64％），尤其以脑卒中为主；并发呼吸衰竭比例高（53％），易导致多器官衰竭（22％）；病原菌以革兰氏阴性杆菌为主（63％），且死亡率高（19％）。结论：老年吸人性肺炎临床症状不典型，重症患者多，预后差，治疗应采取综合手段。
Objective. To investigate the clinical features and treatment of elderly patients with aspiration pneumonion （AP）. Methods. Totally 85 elderly patients with AP were enrolled, selected from inpatients of the department of Department of Cadres Ward in Wuhan General Hospital of Guangzhou Military Command from Jun 2009 to Oct 2013. Retrospective analysis was used. The clinical characteristics, basic diseases and complications of patients were reviewed. And the aetioiogy were also detected. Results： The clinical charac- teristics of elderly patients with AP were not typical. 50 cases showed bad spirits and listlessness which were common symptoms （59%） ; 54 cases had basic neurology disease especially the cerebral apoplexy （64%） ; 45 cases complicated by respiratory failure （53%） ; 22 percents of the patients had multiple system organ failure which induced high mortality rate （19%）; the main pathogens were grey-negative bacillus （63%） ; Conclusion- The clinical features of elderly patients with AP were not typical but severe. Due to high mor- tality rate, integrative therapy should be used.
出处
《数理医药学杂志》
2014年第2期183-185,共3页
Journal of Mathematical Medicine
关键词
老年吸入性肺炎
临床现况
aspiration pneumonion in elderly~ clinical features
