老年人肺部感染的临床特点和治疗策略  

Clinical characteristics of Pulmonary infection in aged patients.

作　　者：喻庆云[1] 朱庄庄[1] 曹云凯[1] 

机构地区：[1]广州军区武汉总医院老年病一科,430070

出　　处：《中国老年保健医学》2005年第2期17-19,共3页Chinese Journal of Geriatric Care

摘　　要：目的探讨老年人肺部感染的临床特点,以便指导诊治。方法将1 509例肺部感染患者,根据年龄不同分为2组:20-59岁为非老年组(658例),≥60 岁为老年组(851例)。分别对其临床表现进行比较分析。结果早期肺部感染无典型肺部症状者,老年组和非老年组分别占29．8％和9．1％:发热者分别占68． 6％和94．4％;院内感染者分别占20．8％和7．9％;MODS分别占16．8％和3．8％; 病死率分别占20．4％和2．9％,各项比例老年组与非老年组均有显著差异(P<0． 01)。结论老年人肺部感染症状复杂而不典型,易发生呼吸衰竭,伴随疾病及并发症多,院内感染及二次以上感染者多,病死率高。Objective To investigate the clinical characteristic of pulmonary infection in the elderly patients, so that instruct to make a diagnosis and give treatment. Methods 1509 cases of pulmonary infection patients were divided into two group according to age:658 cases of no - elderly group (20 - 59 years old), and 851 cases of elderly group (≥60 years old) .The clinical manifestation was analyzed. Results The atypical clinical symptoms in the early days in elderly group and no - elderly group were 29.8% and 9.1% respectively, the fevers were 68.6% and 94.4% respectively, the hospital - acquired infections were 20.8% and7.9% respectively, the MODS were 16.8% and 3.8% respectively, the mortality rate were 20.4% and 2.9% respectively, which was significantly different between the elderly group and no - elderly group (P < 0.01). Conclusion These dangerous factors of atypical clinical, symptoms, accompanied diseases, hospital - acquired infections, over two times infections, severe complications and mortality in the elderly group was very higher than that in the no - elderly group.

关 键 词：老年人 肺部感染 临床特点 

分 类 号：R563.1[医药卫生—呼吸系统]