合肥地区老年社区获得性肺炎的特点分析

目的 分析老年社区获得性肺炎(CAP)患者的临床特征.方法 分析我院呼吸内科2009年1月-2010年12月的330例成人CAP患者的临床资料,比较老年CAP患者和非老年CAP患者的病原学检查、临床特征、基础疾病及疗效等情况.结果 老年CAP患者病原菌多为革兰阴性杆菌,呼吸系统的临床症状不典型,基础疾病多,容易出现并发症；出院治愈率、致死率分别低于和高于非老年患者,但差异无统计学意义.结论 老年人由于免疫力低,器官功能减退,合并多种基础疾病,临床症状不典型使其发病率高、漏诊率高、死亡率高,因此掌握老年CAP患者的临床特征、及早诊断、合理用药,对于改善老年CAP的预后极其重要.

Hefei area older community-acquired pneumonia characteristics

Objective To analyze the clinical features of elderly community—acquired pneumonia(CAP),to provide a reference for clinical diagnosis and treatment.Methods A retrospective analysis was carried out on clinical datas of 330 adult CAP patients from January 2009 to December 2010 to compare the clinical features、etiology and background diseases between elderly CAP patients and non-elderly about clinical data.Results Elderly CAP patients had more background diseases and complications,higher mortality but lower cure rate,their clinical symptoms were not typical,the pathogenic bacteria that they had were mostly Gram-negative bacteria(P>0.05).Conclusions As old patients have more background disease 、failures in immunity and dysfunctional organs,they have more incidence and mortality.Grasping of the clinical features of elderly CAP patients is conducive to accurate diagnosis,rational drug use,and improves the cure rate.