老年患者吸入性肺炎临床特点及病原学分析  

Inhalation Pneumonia of Senile Patients:Analysis of Clinical Feature and Etiology

作　　者：郑洪[1] 陈佳宁[1] 禹玺[1] 蒋萍[1] 杨文杰[1] 

机构地区：[1]天津第一中心医院呼吸科,天津300192

出　　处：《中华医院感染学杂志》2008年第3期372-375,共4页Chinese Journal of Nosocomiology

摘　　要：目的分析老年患者吸入性肺炎的临床特点及病原学特点。方法收集2000年1月-2005年12月呼吸科住院的108例老年吸入性肺炎患者病例,统计并分析其临床特点及痰细菌培养结果。结果老年吸入性肺炎患者均有基础疾病及易感因素,临床表现不典型,共检出病原菌177株,革兰阴性杆菌96株(54.2%),革兰阳性球菌41株(23.2%),假丝酵母菌属40株(22.6%);混合感染45例,占41.7%;二重感染19例,占17.6%。结论提高对老年患者吸入性肺炎的诊断率,根据其病原学特点合理使用抗菌药物,积极预防老年患者吸入性肺炎的发生。OBJECTIVE To investigate clinical features and etiology of inhalation pneumonia. METHODS Totally 108 cases of inhalation pneumonia during from Jan 2000 to Dec 2005 were completely surveyed and analyzed. RESULTS There were underlying diseases and susceptible factors, and it was not typical in their clinical signs and symptoms. Totally 177 pathogens were isolated from sputa. There were 96 strains of Gram-negative bacilli （54.2%）, 41 strains （23.2%） of Gram-positive cocci, and 40 strains （22.6%） of fungi. The 45 cases （4l. 7%） were with polyinfections, and 19 cases （17. 6%） with double infections. CONCLUSIONS We should enhance diagnosis of inhalation pneumonia, make rational use of antibiotic, and take vigorous precautions against inhalation pneumonia.

关 键 词：吸入性肺炎 临床特点 痰细菌培养 病原学 

分 类 号：R563.1[医药卫生—呼吸系统] R473.6[医药卫生—内科学]