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目的分析老年社区获得性肺炎(CAP)的临床特点及预后。方法回顾性分析2010年1月至2010年12月我科收治的220例65岁以上老年CAP患者的临床和检查资料及预后。结果老年CAP患者中91.36%合并有一种以上的基础疾病,痊愈和显效为有效病例占93%,住院病死率为5.9%。老年CAP临床表现不典型。痰培养结果革兰氏阴性杆菌(85例)占细菌总数的63.43%,对氨基糖甙类、头孢菌素、喹诺酮类等敏感性高。结论加强对老年CAP的认识,对早期诊断和早期治疗,改善预后,降低病死率有重要意义。
Objective To analyze the clinical features and prognosis of community-acquired pneumonia (CAP) in the elderly. Methods The clinical data and prognosis of 220 elderly patients over 65 years of age admitted from January 2010 to December 2010 in our department were analyzed retrospectively. Results 91.36% of elderly patients with CAP combined with more than one kind of basic disease, the cure and effective were 93% of effective cases and 5.9% of in-hospital cases. Clinical manifestations of elderly CAP is not typical. Results of sputum culture Gram-negative bacilli (85 cases) accounted for 63.43% of the total bacteria, aminoglycosides, cephalosporins, quinolones and other high sensitivity. Conclusions It is of great significance to strengthen the cognition of senile CAP on the early diagnosis and early treatment, improve the prognosis and reduce the mortality.