论文部分内容阅读
目的探讨老年人重症肺炎并发肝功能损害的原因和治疗。方法回顾分析解放军第八五医院院2006年1月—2009年6月收治的48例社区获得性老年人重症肺炎患者的临床资料。结果48例老年人重症肺炎患者中,20例(41.7%)出现肝功能损害,治愈及好转者为45.0%;而28例不伴有肝功能损害的重症肺炎,治愈及好转者为75.0%,两组比较差异有统计学意义(P<0.05);肝功能损害组的酸中毒发生率显著高于无肝功能损害组(35.0%vs7.1%,P<0.05)。结论老年人重症肺炎常并发肝功能损害,需要临床医生及时诊断和积极治疗。
Objective To investigate the causes and treatment of severe pneumonia complicated with hepatic dysfunction in the elderly. Methods The clinical data of 48 patients with community-acquired elderly severe pneumonia admitted to the 85th Hospital of PLA from January 2006 to June 2009 were retrospectively analyzed. Results Of the 48 elderly patients with severe pneumonia, 20 cases (41.7%) had liver dysfunction and the cure and improvement were 45.0%. In 28 cases of severe pneumonia without liver dysfunction, the cure and improvement were 75.0% The difference between the two groups was statistically significant (P <0.05). The incidence of acidosis in liver dysfunction group was significantly higher than that in non-liver dysfunction group (35.0% vs 7.1%, P <0.05). Conclusion Severe pneumonia in the elderly often complicated by liver dysfunction, clinicians need timely diagnosis and active treatment.