老年吸入性肺炎82例临床特点分析及临床策略  

Clinical Characteristics Analysis and Clinical Strategy in 82 Cases of Elderly Aspiration Pneumonia

作　　者：王宇[1] 左霞[1] 

机构地区：[1]鞍山市中心医院特诊一病房,鞍山114001

出　　处：《中国医药导刊》2014年第12期1450-1451,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨老年吸入性肺炎临床特点及病原菌构成,总结易患因素、治疗方法、预防对策。方法：回顾分析2010年12月~2012年12月鞍山市中心医院82例发生老年吸入性肺炎患者的临床资料特点、痰培养的病原菌结构。分析老年性吸入性肺炎的易患年龄、合并基础疾病、症状体征特点、病原学特点。结果：老年吸入性肺炎常合并多种基础疾病,高龄、吞咽困难、意识障碍明显增加患病比例。老年吸入性肺炎细菌感染主要为革兰阴性菌,多合并厌氧菌感染,真菌感染逐渐增加。结论：引起老年吸入性肺炎易患因素多。老年吸入性肺炎病情复杂,起病隐袭,症状体征不典型,治疗应根据病原学特点,联用高效、广谱抗菌药物,提高免疫力等综合治疗。Objective： To explore clinical characteristics and pathogenic bacteria elderly aspiration pneumonia, summarizes the susceptible factors, treatment and prevention countermeasures.Methods： Retrospective analysis in December 2010 ~ Anshan central hospital in December 2012, the clinical data of 82 cases occurred in elderly patients with aspiration pneumonia characteristics, pathogenic bacteria structure of sputum culture.Analysis of aspiration pneumonia in the elderly are susceptible to age, with basic diseases, symptoms and signs characteristics, etiology characteristic.Results： Old aspiration pneumonia often merge a variety of basic diseases, age, difficulty swallowing, disturbance of consciousness obviously increase the proportion.With aspiration pneumonia bacteria infection is mainly gram-negative bacterium, combined anaerobic bacteria infection, fungal infection increased gradually.Conclusion： Old aspiration pneumonia caused more susceptible factors.Elderly aspiration pneumonia disease complex, insidious onset, atypical symptoms and signs, treatment should be based on the characteristics of etiology, high efficiency, broad spectrum antimicrobial drugs, enhance immunity and other comprehensive treatment.

关 键 词：老年人 吸入性肺炎 临床特点 临床策略 

分 类 号：R563.1[医药卫生—呼吸系统]