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 and Treatment Strategies

作　　者：朱庄庄[1] 喻庆云[1] 

机构地区：[1]广州军区武汉总医院老年病一科,武汉430070

出　　处：《中国康复》2006年第2期103-104,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨老年人肺部感染的临床特点及最佳救治方案。方法:1 509例肺部感染患者分为老年组(A组)851例(≥60岁)和非老年组(B组)658例(20-59岁)。分别对其临床表现进行比较分析,并提出治疗方案。结果:早期肺部感染有典型肺部症状A组和B组分别为70.2%和97.0%;发热为68.6%和94.4%;院内感染为20.8%和7.9%;多器官功能障碍(MODS)为16.8%和3.8%;死亡率为20.4%和2.9%,A组与B组间比较均差异有显著性意义(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、院内感染及2次以上感染多,伴随疾病及并发症多,病死率高。治疗策略多遵循“降阶梯式”抗菌方案。Objective：To investigate the clinical characteristics of pulmonary infection in the elderly patients and the treatment strategies. Methods： 1509 cases of pulmonary infection were divided into two groups according to age： 658 cases of non-elderly group （20-59 years old, group）, and 851 cases of elderly group （≥60 years old）. The clinical manifestations were analyzed and the treatment strategies were put forward. Results： The incidence of atypical ;clinical symptoms in the early days in elderly group and non-elderly group was 29.8% and 9. 1% respectively, that of fever was 68.6 % and 94.4 % respectively, that of hospital-acquired infections was 20. 8 % and 7.9 % respectively and that of MODS was 16.8 % and 3.8 % respectively, and the mortality rate was 20.4 % and 2.9 % respectively, with the difference being significant （all P〈0.01）. Conclusion：Symptoms of pulmonary infection in the elderly patients were atypical and complicated, likely with respiratory failure, hospital-acquired infections, over two times infections, severe complications and mortality.

关 键 词：肺部感染 临床特点 治疗 

分 类 号：R563.1[医药卫生—呼吸系统]