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现对我院1987～1993年收治的52例老年人尿路感染分析如下。 1.临床资料:本组男29例,女23例;年龄60～82岁(平均65.3岁)。诊断标准:清洁中段尿细菌定量培养≥10~5/ml,结合白细胞尿及临床表现;男性患者伴前列腺病变者14例。本组脑血管病后遗症4例,输尿管结石、糖尿病各3例,膀胱肿瘤1例。有典型尿路刺激症状者18例,发热者11例,血尿4例;无尿路刺激症状者16例。尿细菌学检查:大肠杆菌33例,肠球菌9例,变形杆菌7例,克雷伯氏菌3例。 2.讨论:老年人尿路感染在老年感染性疾病中仅次于呼吸道感染而居第二位,发病率15％～20％,且随着年龄增长而升高,70岁以上达33.3％,80岁以上达50％,男女发病率相近。由于临床表现多不典型,无症状菌尿者30％以上;加之老年人感觉迟
Now in our hospital from 1987 to 1993 admitted 52 cases of urinary tract infection in elderly are as follows. 1. Clinical data: The group of 29 males and 23 females; aged 60 to 82 years (mean, 65.3 years). Diagnostic criteria: Quantitative culture of urinary bacteria in the middle of cleaning ≥10 ~ 5 / ml, combined with leucocyturia and clinical manifestations; 14 cases of male patients with prostate lesions. This group of cerebrovascular sequelae in 4 cases, ureteral calculi, diabetes in 3 cases, 1 case of bladder cancer. There are 18 cases of typical urinary tract irritation, fever in 11 cases, 4 cases of hematuria; no urinary tract irritation in 16 cases. Urinalysis: 33 cases of Escherichia coli, Enterococcus 9 cases, Proteus 7 cases, 3 cases of Klebsiella. 2. Discussion: Urinary tract infection in the elderly is the second most common infectious disease in the elderly after respiratory infections, the incidence of 15% to 20%, and increased with age, over the age of 70 reached 33.3% 50% over the age of 80, the incidence of male and female similar. Due to the clinical manifestations of atypical, more than 30% of asymptomatic bacteriuria; combined with seniors feel late