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目的:分析联合治疗老年性肺炎合并慢性肺气肿疗效,总结经验。方法:2015年2月~2017年5月,医院共收治老年性肺炎合并慢性肺气肿患者44例,治疗方法包括抗感染治疗、病因治疗与合并症治疗、对症治疗、抗炎治疗、免疫治疗、营养支持和与机械通气治疗、抗血栓形成治疗、使用血管活性药物治疗、康复治疗等。结果:转入ICU、重症化患者3例,并发低氧血症11例、营养不良11例、心律失常5例、混合感染1例、腹泻1例、皮肤感染1例、高血糖1例、牙龈出血1例,住院时间(11.4±2.6)日,机械通气时间(14.4±2.5)h,吸氧时间(43.2±10.6)h。出院后6个月内再住院11例。结论:老年性肺炎合并慢性肺气肿需重视辅助治疗,加强出院后的管理。
Objective: To analyze the curative effect of combined treatment of senile pneumonia and chronic emphysema and to summarize the experience. Methods: From February 2015 to May 2017, 44 patients with senile pneumonia complicated with chronic emphysema were admitted to the hospital. The treatment included anti-infective therapy, etiological treatment and comorbidity treatment, symptomatic treatment, anti-inflammatory treatment and immunotherapy , Nutritional support and ventilation with mechanical therapy, anti-thrombosis treatment, the use of vasoactive drug therapy, rehabilitation and so on. Results: In the ICU, 3 cases of critically ill patients complicated with hypoxemia in 11 cases, malnutrition in 11 cases, arrhythmia in 5 cases, mixed infection in 1 case, diarrhea in 1 case, skin infection in 1 case, hyperglycemia in 1 case, gums Bleeding in 1 case, hospital stay (11.4 ± 2.6) days, mechanical ventilation time (14.4 ± 2.5) h, oxygen inhalation time (43.2 ± 10.6) h. Eleven hospitalizations occurred within 6 months after discharge. Conclusion: Senile pneumonia complicated with chronic emphysema should pay attention to adjuvant therapy and strengthen the management after discharge.