【摘要】 目的:调查老年肺炎的危险因素、病原学特点及临床治疗方案,探讨防治老年肺炎的措施。方法:回顾性分析166例老年肺炎住院患者的临床资料,对照分析研究其年龄、基础疾病、临床表现、病原学特点、治疗及转归的特征。结果:本组资料显示临床症状及体征不典型者较多,84.3%的患者有基础疾病,病原菌主要为G-杆菌(71.1%),且混合感染达80.8%。治疗上建议对老年肺炎患者采用降阶梯疗法,同时应注意抗真菌治疗。结论:对老年肺炎患者要掌握其规律,应针对病原学特征进行治疗,初始经验性抗生素治疗时应考虑使用抗G-杆菌的抗生素,并要积极治疗原发疾病及对症治疗以提高治愈率。更多还原

【Abstract】 AIM: To investigate the risk factors,pathogens features and clinical treatment perscription in the old pneumonia patients,and approach measures for prevention pneumonia disease in the old.METHODS: 166 clinical data of pneumonia patients with hospitalization records were analyzed retrospectively,the age,concomitant disease,clinical situation,pathogens feature,therapy and turnover were analyzed too.RESULTS: The data analysis showed clinical symptoms in most old patients were atypical,84.3% old patients had underlying diseases,and 80.8% patients with combined infection,gram negative bacterium(G-) as the major pathogenic bacteria(71.1%).The pneumonia disease in old should better taking rescue by stages combined with antifungal drugs.CONCLUSION: As to the old pneumonia patients,we should grasp the rules and treat the deseases according to the pathogens feature.The beginning empiric treatment with broad-antibacterials or combination antibacterial should consider G-microbacillary antibiotics,treat primarily disease as well as symptomatic treatment to elevate cure rates.更多还原