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目的:重视肺炎在老年头晕患者中所占比例,提高老年患者肺炎的确诊率,减少误诊漏诊。方法:对我院2005年5月—2010年12月以头晕为主诉入院的老年患者病因及以头晕为主诉入院的老年人肺炎临床表现进行分析。结果:共有12例以头晕为主诉入院的老年人病因是肺炎,且缺乏典型肺炎临床表现。结论:以头晕为主诉的老年人肺炎并不罕见,缺乏典型肺炎临床表现,应引起重视,在急诊或首诊时要详细询问病史及体检,全面分析,及时检查,以防误诊。
Objective: To pay attention to the proportion of pneumonia in elderly patients with dizziness, improve the diagnosis of pneumonia in elderly patients, reduce misdiagnosis and missed diagnosis. Methods: From May 2005 to December 2010, our hospital analyzed the etiology of elderly patients admitted to hospital with dizziness and the clinical manifestations of pneumonia in elderly patients admitted to hospital with dizziness. Results: A total of 12 cases of dizziness-based hospital admission for the elderly cause of pneumonia, and the lack of a typical clinical manifestations of pneumonia. Conclusion: Dizziness is the main complaint of elderly pneumonia is not uncommon, the lack of clinical manifestations of typical pneumonia, should pay attention to, in the emergency or first consultation to ask history and physical examination in detail, a comprehensive analysis and timely examination to prevent misdiagnosis.