老年人肺部感染的特点及治疗  

Analysis of Clinical Characteristics of Elderly Patients with Pulmonary Infection

作　　者：袁开芬[1] 赵国厚[1] 范敏娟[1] 杨建华[1] 

机构地区：[1]昆明医学院第二附属医院干疗呼吸科,云南省昆明市650101

出　　处：《实用心脑肺血管病杂志》2011年第11期1885-1887,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨老年肺部感染的病原学特点、临床特点及合理选择抗生素。方法将410例60岁以上老年人肺部感染的病原学、临床表现、辅助检查结果及治疗转归进行分析。结果老年人因气道屏障功能减退、机体细胞免疫及特异性抗体产生能力下降及常伴有基础疾病,易发生肺部感染,临床表现不典型,并发症多,死亡率高。结论老年人肺部感染起病隐匿,症状不典型,肺部体征无特异性,因此应重视老年人肺部感染的早期诊断,并进行及时有效治疗。Objective To explore the pathogenic characteristics,clinical features and the reasonable selection of antibiotics in the aged patients with pulmonary infection.Methods The etiology,clinical manifestations,laboratory findings and the therapeutic outcomes of 410 elderly patients above 60 years old with pulmonary infection were analyzed.Results The elderly were easy to have pulmonary infection because of the decrease of airway barrier function,cellular immunity and antibody production ability.The aged patients with pulmonary infection often had atypical symptoms,many complications and high mortality rate.Conclusion The onset of occult,atypical symptoms and no specific pulmonary signs were the features of pulmonary infection in old people.Attention should be paid to the early diagnosis of pulmonary infection in old people,and the timely and effective treatment should be carried out.

关 键 词：老年 肺部感染 临床特点 诊断 治疗 

分 类 号：R563[医药卫生—呼吸系统]