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目的:探讨老年肺炎患者的临床特点和治疗方法。方法:回顾我院收治的老年肺炎患者,均符合《肺炎诊断和治疗指南(草案)》的诊断标准,总结老年肺炎和治疗方法。结果:88例老年肺炎患者经过治疗后痊愈58例(65.91%),显效18例(20.45%),有效8例(9.09%),总有效率为95.45%。4例患者中2例患者由于患有多种老年疾病,发生多器官功能衰竭而死亡,2例患者为肺癌。住院时间为10～28天,平均住院时间为15天。结论:老年肺炎患者临床特点不典型,在诊断时要密切注意患者的非特异性表现,结合实验室检查及早做出准确的诊断,采取有效的抗生素治疗,提高患者的生存质量,降低死亡率。
Objective: To investigate the clinical features and treatment of elderly patients with pneumonia. Methods: A retrospective study of elderly patients with pneumonia admitted to our hospital, are in line with “diagnosis and treatment of pneumonia Guide (Draft)” diagnostic criteria, summed up the elderly pneumonia and treatment. Results: 88 cases (65.91%) were cured after treatment, 18 cases (20.45%) were effective and 8 cases (9.09%) were effective. The total effective rate was 95.45%. Two of the four patients died of multiple organ failure due to multiple age-related diseases, and two were lung cancer. Hospitalization time is 10 to 28 days, the average length of stay for 15 days. Conclusion: The clinical characteristics of elderly patients with pneumonia are not typical. At diagnosis, close attention should be paid to the nonspecific performance of patients. Combined with laboratory tests, early diagnosis is made accurately and effective antibiotics are taken to improve patients’ quality of life and reduce mortality.