老年人医院获得性肺炎138例临床分析  

CLINICAL ANALYSIS OF 138 SENIOR PATIENTS WITH HOSPITAL ACQUIRED PNEUMONIA

作　　者：魏予新 

机构地区：[1]新疆博州人民医院,博乐833400

出　　处：《现代预防医学》2010年第23期4575-4575,4577,共2页Modern Preventive Medicine

摘　　要：[目的]探讨老年医院获得性肺炎(HAP)的临床特点及合理使用抗菌药物。[方法]对138例老年HAP患者的临床资料进行回顾性统计分析。[结果]HAP在94例高龄老年人伴有慢性基础病中占88.6%,有痰培养结果者68例,依据痰药敏结果选用药物。其他为经验性选药,疗程7～14 d。86例症状、体征明显改善,占81.2%,死亡20例,病死率为18.8%。[结论]在治疗老年人医院获得性肺炎过程中,重视药物选择及治疗策略,是提高HAP的治愈率,减少死亡率的有效措施。[Objective]To discuss hospital acquired pneumonia（HAP）in aged patients to guide reasonable use of antibiotics.[Methods]Made a retrospective clinical data for statistical analysis on 138 elderly patients with HAP.[Results]In 138 cases,94 cases（88.6%）were with other chronic disease,and 68 patients had the sputum culture.We chose antibiotics according to the result of sputum culture,when the other patients had antibiotics according to clinical experience,both for 7-14 days.Through clinical treatment,86 patients（81.2%）had distinct improvement,and 20 cases（18.8%）died.[Conclusion]In treating HAP,the medicine choice and the treatment strategy are the effective measures to enhance the cure rate of HAP and reduce the mortality rate.

关 键 词：老年人 医院获得性肺炎 临床分析 

分 类 号：R563.1[医药卫生—呼吸系统]