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报道老年人肺部感染240例,分析结果表明、老年人肺部感染常缺乏发热、胸痛等表现,腹泻、腹痛、恶心、呕吐及意识障碍较为多见。老年人院内感染率高(40%)。X 线检查53.4%为小片状或条索状阴影,肺部病灶吸收时间延长,痰培养56.5%。为革兰氏阴性杆菌,合并肺部念珠菌感染者50例。本组150例治愈,36例好转,54例死亡,病死率22.5%,明显高于同期成年组(P<0.01)。其死亡原因以呼吸衰竭、多脏器功能衰竭、休克、充血性心力衰竭等为主。老年人肺部感染除积极治疗基础疾病及改善全身营养状况外,应早期合理选用抗菌药物。合并肺部真菌感染时,宜选用高效、低毒抗真菌药物,如大扶康(氟康唑),为较理想的治疗药物。
Reports of 240 elderly patients with pulmonary infection, the analysis showed that the elderly often lack of pulmonary infection fever, chest pain and other performance, diarrhea, abdominal pain, nausea, vomiting and disturbance of consciousness more common. Elderly nosocomial infection rate is high (40%). X-ray examination of 53.4% of small pieces or bar-like shadows, lung lesions absorption time, sputum culture 56.5%. Gram-negative bacilli, combined with pulmonary candidiasis in 50 cases. The group of 150 cases of cure, 36 cases improved, 54 cases died, the mortality rate was 22.5%, significantly higher than the same age group (P <0.01). The causes of death to respiratory failure, multiple organ failure, shock, congestive heart failure and other mainly. In addition to active treatment of lung cancer in the elderly and improve the general nutritional status of the body, should be rational early use of antimicrobial agents. Combination of pulmonary fungal infection, should use highly efficient, low toxicity antifungal drugs, such as Daifuku (fluconazole), for the more ideal treatment.