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我们对1993年1月～1996年12月收治的60岁以上的262例肺部感染病例进行分析讨论,以探索老年肺部感染的临床特点和防治对策。 1 临床资料 1.1 年龄、性别:年龄60岁～105岁,男187例,女75例.男:女=2.5:1。 1.2 临床表现:发热者仅占半数左右(50.4％),呼吸系统症状依次为咳嗽、胸闷、咯白色粘痰、喘息、咯血等。多有消化道症状,部分病例有精神神经系统症状。以精神神经系统症状为主要表现者21例,以消化道症状为主要表现者17例。主要体征有紫绀、肺部罗音。多器官功能衰竭28例,
We analyzed and discussed 262 cases of lung infections over the age of 60 admitted from January 1993 to December 1996 to explore the clinical features and prevention and treatment measures of elderly pulmonary infection. 1 Clinical data 1.1 Age, gender: age 60 years old to 105 years old, 187 males and 75 females.Male: female = 2.5: 1. 1.2 Clinical manifestations: fever only accounted for about half (50.4%), followed by respiratory symptoms were cough, chest tightness, slightly sticky phlegm, wheezing, hemoptysis. More gastrointestinal symptoms, some cases of neurological symptoms. Twenty-one patients showed neuropsychiatric symptoms as the main manifestation, and 17 patients were mainly gastrointestinal symptoms. The main signs of cyanosis, pulmonary rales. Multiple organ failure in 28 cases,