论文部分内容阅读
报道200例老年肺炎。分析结果表明,老年肺炎常缺乏发热、胸痛、咳嗽、脓痰等表现,仅以乏力、倦怠、嗜睡、精神萎糜等意识障碍为多见。X线胸片示肺内小片状及索条状影,肺部病灶吸收时间延长。痰培养致病菌生长占90％,其中革兰氏阳性菌占70％,有的合并菌种为霉菌30％,念珠菌占20％。本组死亡率为10％,死因为误诊,延误治疗,致呼吸衰竭。因此,及时的胸部X线检查,及早确诊尤为重要。
Reported 200 cases of elderly pneumonia. The results showed that elderly pneumonia often lack of fever, chest pain, cough, purulent sputum and other manifestations, only with fatigue, fatigue, lethargy, mental wilt and other disturbance of consciousness more common. X-ray showed a small piece of lung and cable stripe shadow, lung lesions absorption time extended. Sputum culture pathogen growth accounted for 90%, of which Gram-positive bacteria accounted for 70%, and some of the combined strains of mold 30%, candida 20%. The death rate of 10%, the cause of death is misdiagnosed, delayed treatment, resulting in respiratory failure. Therefore, timely chest X-ray examination, early diagnosis is particularly important.