老年重症肺炎合并胸腔积液47例  

Clinical analysis of 47 elderly patients with severe pneumonia complicated with pleural effusion

作　　者：陈文海[1] 

机构地区：[1]北海市人民医院呼吸内科,广西北海536000

出　　处：《临床肺科杂志》2014年第7期1195-1197,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨并总结老年重症肺炎合并胸腔积液的临床特点。方法选择本院住院治疗的老年重症肺炎合并胸腔积液患者47例,依照患者病情,将其分为单纯肺炎旁胸腔积液(UCPE)26例,复杂性肺炎旁胸腔积液(CPE)21例,观察两组患者的临床特征;另选45例青年患者与42例中年患者均合并有胸腔积液,观察三组患者的一般情况。结果三组患者的一般情况相比,老年患者长期饮酒与基础疾病两项指标明显较其他两组高(P<0.05);两组患者在胸水吸收时间与血细胞计数方面差异具有统计学意义(P<0.05),其他指标并无显著差异(P>0.05);对胸水实验检验的各项指标,两组比较差异均具有统计学意义(P<0.05);两组细菌学培养结果阳性率具有显著差异(P<0.05)。结论老年重症肺炎并胸腔积液的临床症状不典型且较为复杂,应及早诊断及时治疗,以增强治疗效果。Objective To explore and summarize the clinical features of elderly patients with severe pneu-monia complicated with pleural effusion. Methods 47 patients with severe pneumonia complicated with pleural effu-sion were divided into the pure side pleural effusion group （UCPE） （n=26） and the next to the complexity of pneu-monia pleural effusion （ CPE） group （ n =21 ） according to their disease situation. The clinical features were ob-served in the two groups. And another 45 young patients and 42 middle-aged patients with pleural effusion were se-lected. Results Long-term alcohol consumption and basic diseases were more common in the elderly patients group than in the other two groups （P〈0. 05）. There were significant differences in blood cell counts and pleural fluid ab-sorption time between the two groups （ P〈0. 05 ） . There was no significant difference in the other indicators （ P〉0. 05）. The positive rate of bacteriological culture results showed significant difference between the two groups （P〈0. 05）. Conclusion The senile patients with severe pneumonia and pleural effusion are atypical clinical symptoms and more complex, and they should be given early diagnosis and timely treatment in order to enhance its therapeutic effect.

关 键 词：重症肺炎 胸腔积液 老年患者 

分 类 号：R563.1[医药卫生—呼吸系统] R561.3[医药卫生—内科学]