【摘要】 目的探讨老年肺炎旁胸腔积液(PE)的临床特点,提高护理水平。方法对42例PE患者进行分析,将其分为单纯性肺炎旁胸腔积液(UCPE)及复杂性肺炎旁胸腔积液(CPE),比较分析二者的临床特点,胸水特性,治疗、护理方法及预后。结果42例患者中UCPE有23例,CPE有19例,CPE组基础疾病的数目显著多于UCPE组(P﹤0.05);老年CPE组中等量以上胸水比例远远高于UCPE组(P﹤0.05);胸水化验pH值、乳酸脱氢酶(LDH)、血糖(GLU)、C-反应蛋白(CRP)对诊断及指导治疗老年UCPE,尤其是CPE具有重要的价值。结论老年CPE较UCPE易造成胸膜肥厚包裹,早期确诊困难,且平均住院时间长,若早期积极地给予综合治疗及有效的护理,可避免开胸手术,可有效降低医院内感染的发生。更多还原

【Abstract】 OBJECTIVE To evaluate the clinical characteristic of parapneumonic effusion(PE) in old people and improve the level of nursing. METHODS 42 parapneumonic effusions were divided into uncomplicated parapneumonic effusion(UCPE) and complicated parapneumonic effusion(CPE) according to its characteristics. The clinical characteristic, property of effusion, therapy, method of nursing and prognosis of UCPE and CPE were compared. RESULTS There were 23 UCPE and 19 CPE in 42 PE. The basic disease in the group of CPE and the proportion of CPE with moderate or large effusion were more than those of UCPE(P﹤0.05, P﹤0.05 respectively). The pH, LDH, GLU and CRP had important values to direct the diagnosis and therapy of UCPE, especially CPE. CONCLUSIONS It was easier to cause pleural thickening, early diagnostic difficulty and long hospitalization in CPE. If it was diagnosed early and given actively comprehensive treatment, surgical operation could be avoided. It could also effectively decrease the occurrence of nosocomial infection.更多还原