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目的:提高对无呼吸道症状老年社区获得性肺炎(CAP)的认识。方法:回顾性分析无呼吸道症状70例CAP老年患者临床资料。结果:此组病例98.6%合并基础疾病,临床以肺外表现为主。结论:CAP老年患者因缺乏典型呼吸道症状易漏诊、误诊,应重视X线检查,尽早抗生素及基础疾病的治疗,提高治愈率。
Objective: To raise awareness of community-acquired pneumonia (CAP) in elderly patients without respiratory symptoms. Methods: A retrospective analysis of 70 elderly patients without respiratory symptoms clinical data. Results: 98.6% of the patients in this group had underlying diseases and their clinical manifestations were mainly extrapulmonary. Conclusion: Elderly patients with CAP often have missed diagnosis and misdiagnosis due to the lack of typical respiratory symptoms. They should pay attention to X-ray examination and cure antibiotics and underlying diseases as soon as possible so as to improve the cure rate.