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老年人肺炎诊治中的几个重要问题 被引量:3

Several important issues in the diagnosis and treatment of pneumonia in the elderly
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摘要 肺部感染是最常见和危害最为严重的感染性疾病,由于身体功能退化和全身及局部免疫功能减退,同时伴随基础疾病增加,老年人成为肺炎的发生和预后不佳的高危人群。老年肺部感染患者的临床表现多不典型,因此容易出现漏诊与误诊,CURB-65是适用于此类患者的快速评估以及指导后续一系列临床决策的重要方法。老年肺部感染患者常见病原菌与年轻人群不同,因此对于这类人群的临床用药应该同时兼顾有效性与安全性。 Pneumonia is the most common infectious disease with severe harm.The elderly is at high risk of affecting pneumonia because the degeneration of human bodies and the dysfunction of local immunity and the increase in common diseases.The elderly with pneumonia rarely has typical clinical presentation,which usually leads to misdiagnosis.CURB-65 is an important method that it can quickly evaluate the statue of the elderly with pneumonia and instruct the following clinical treatment.The pathogens causing pneumonia in the elderly are usually different from them among young people,hence,both effectiveness and safety of clinical drugs should be considered.
作者 刘浩然 李燕明 Liu Haoran;Li Yanming(Graduate Faculty of Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China)
出处 《中国临床保健杂志》 CAS 2020年第1期5-9,共5页 Chinese Journal of Clinical Healthcare
关键词 肺炎 诊断技术和方法 药物疗法 老年人 Pneumonia Diagnostic techniques and procedures Drug therapy Aged
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