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肺炎是老年人感染性疾病中最常见,而且是病死率最高的一种疾病,多年临床实践中我们发现老年肺炎有其特殊的发病规律和临床表现,现将我院5年来收住院的138例较典型的老年肺炎患者临床资料报道如下。 1临床资料 1.1病例选择 我院内科5年来收治60岁以上肺炎患者138例,占同时间住院人数的9.7％,占同期肺炎患者人数的63.59％,其中男97例,女41例,男:女=2.37:1。 1.2发病情况 ①发病季节:以秋冬季,发病率高达89例70.53％。②吸烟史:138例中有吸烟史者75例,占54.35％中吸烟史30～40年者62例。 1.3临床表现 主要症状以咳嗽、咳痰、喘息、呼吸困难、食欲不振、发热为主,其他尚有心慌、气急、胸闷等,体征主要有肺部干湿性啰音、心动过速、口唇发绀、下肢水肿、肝大等(详见表
Pneumonia is the most common infectious disease in the elderly, and is the highest mortality of a disease, many years of clinical practice we found that elderly pneumonia has its special incidence and clinical manifestations, now our hospital admitted to hospital for 5 years 138 cases More typical clinical data of elderly patients with pneumonia are reported below. 1 Clinical data 1.1 Case Selection Hospital in our hospital for 5 years 138 cases of pneumonia patients over 60 years of age, accounting for 9.7% of the same time the number of inpatients, accounting for 63.59% of the same period the number of pneumonia patients, including 97 males and 41 females, male: female = 2.37: 1. 1.2 incidence ① onset season: autumn and winter, the incidence of up to 89 cases 70.53%. ② smoking history: There are 75 cases of smoking history in 138 cases, accounting for 54.35% of the smoking history of 30 to 40 years in 62 cases. 1.3 Clinical manifestations of the main symptoms of cough, sputum, wheezing, dyspnea, loss of appetite, fever-based, others still have palpitation, shortness of breath, chest tightness, etc., the main signs of lung wet and dry rales, tachycardia, , Lower extremity edema, liver and other large (see table