论文部分内容阅读
1 临床资料 1.1 一般资料我科1998年1月至1999年12月共收治老年性肺炎129例。其中男97例,女32例。年龄65岁～89岁。均符合:(1)呼吸道感染诱因;(2)有明确的支气管和(或)肺部炎症的症状和体征;(3)X线胸片肺纹理增粗,局限性或弥漫性肺浸润表现;(4)两次或两次以上痰涂片,培养。上述前3条者,部分同时具有(4)。其中伴有基础疾病:COPD患者42例,心脏疾患者36例,神经系统患者25例,糖尿病患者27例,肿瘤患者11例,同时老年肺炎病人多有营养不良,多数合并有两种或以上基础疾病。诊断延误、治疗不及时易出现多脏器功能衰竭等严重并发症。
1 Clinical data 1.1 General Information Our department from January 1998 to December 1999 were treated 129 cases of senile pneumonia. There were 97 males and 32 females. Age 65 years old to 89 years old. (1) causes of respiratory tract infection; (2) clear symptoms and signs of bronchial and / or pulmonary inflammation; (3) thickened, localized or diffuse pulmonary infiltrates on chest X-ray; (4) two or more sputum smear, culture. The first three above, some at the same time with (4). There are 42 cases of COPD, 36 cases of heart disease, 25 cases of nervous system, 27 cases of diabetes and 11 cases of cancer. At the same time, elderly patients with pneumonia have malnutrition and most of them have two or more basic disease. Delayed diagnosis, treatment is not timely prone to multiple organ failure and other serious complications.