【摘要】 目的探讨老年社区获得性肺炎的临床特点。方法总结分析479例社区获得性肺炎(CAP)住院患者的临床资料,对照分析老年组与非老年组的临床表现、辅助检查,误诊情况及治疗转归。结果老年社区获得性肺炎临床表现及实验室检查不典型,易并发多种并发症;加之老年人常有基础疾患,故本病误诊、漏诊率较高,预后差,治疗时间长。结论依据老年社区获得性肺炎的临床特点,对老年患者应做到早诊断、早治疗,防止并发症的发生。常规胸部X线检查,及时确诊、合理使用抗生素及综合治疗是提高治愈率的关键。更多还原

【Abstract】 Objective To discuss the clinical characteristics of elderly patients with community acquired pneumonia.Methods Summary and analysis 479 cases clinical date of inpatients with CAP,comparative analysis of elder group and Non-elder group’s clinical characteristics,assistant examination,misdiagnosis and prognosis.Results Clinical characteristics and lab examination of elderly patients with community acquired pneumonia were atypical and easy to cause other complications,and also the elderly patients general had basic disease.So,the rate of misdiagnosis,fail to diagnosis was higher and general need longer time to be cured.Conclusion According to the clinical characteristics of elderly patients with community acquired pneumonia,the elder should be early diagnosis and early treatment,and prevent happening of complications.And the key for improving the cure rate is through general chest X examination and timely accurate diagnosis,reasonable using antibiotic and comprehensive treatment.更多还原