老年患者肺炎85例临床分析

【摘要】目的研究分析老年患者肺炎的临床表现。方法将85例老年肺炎患者作为调查对象，同时选择85例同期治疗肺炎的青年患者作为对照研究对象。比较两组患者的性别、临床表现、病变位置以及死亡等方面的不同。结果青年组的临床表现中消化道症状为40．0％，意识的变化为15-3％，胸腔积液为8．2％，双肺为8.2％，死亡率为5．9％。远低于老年患者组的70．6％、30．6％、23．5％、21．2％、16．5％（P〈0．05）。结论老年患者由于其身体素质较差，所以其肺炎的发病率较高、且临床症状以及体征不典型，术后恢复较差。医生应该熟悉老年肺炎的临床特点，尽可能做到早发现、早诊断、早治疗。

Clinical analysis of 85 elderly patients with pneumonia

Objective To study and analyze the clinical manifestations of the elderly patients with pneumonia. Meth- ods Eighty-five elderly patients with pneumonia were selected as survey group, while 85 young patients with pneumo- nia treated in the same period were classified into control group. Different aspects like gender, clinical manifestation, lesion location, and mortality were compared in the two groups. Results In the control group, the clinical manifesta- tions in digestive tract, mind change, pleural effusion accounted for 40.0%, 15.3%, and 8.2%. The lesion location in dual lungs was 8.2%, and mortality was 5.9%, which was much lower than those in the survey group, 70.6%, 30.6%, 23.5%, 21.2%, 16.5%, respectively （P 〈 0.05）. Conclusion The higher incidence of pneumonia in elderly patients to- gether with atypical clinical manifestations and signs, and poor postoperative recovery are all ascribed to their poor constitutions. The physicians should be familiar with the clinical characters of senile pneumonia, and try their best in early detection, early diagnosis, and early treatment.