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老年人肺炎由于临床表现不典型,客观依据不足,肺外表现较多而常被误诊,为提高诊治率,现对我院近5年来收治的53例临床资料分析如下。 1 临床资料 1.1 一般资料 53例均为我院住院患者,男40例,女13例,年龄在60～78岁,平均65岁,右侧肺炎30例、左侧肺炎17例、双侧肺炎6例。平均住院日26天。 1.2 临床表现 53例均发生于寒冷的冬春季节,起病缓慢。咳嗽43例,其中干咳12例,咳白色泡沫痰20例、咳黄脓痰7例、血痰4例。高热6例、低热20例、体温正常27例。肺部干罗音14例,湿罗音18例、管型音2例、呼吸音减弱9例、呼吸音正常10例。其它症状有胸痛18例、胸闷气急19例、心悸17例、恶心呕吐31例、纳差乏力24例、精神淡漠9例、嗜睡7例、头痛头晕10例。
Elderly pneumonia due to clinical manifestations of atypical, objective lack of evidence, extrapulmonary manifestations are often misdiagnosed, in order to improve the diagnosis and treatment rate, now the hospital for nearly 5 years 53 cases of clinical data analyzed as follows. 1 Clinical data 1.1 General Information 53 cases were hospitalized in our hospital, 40 males and 13 females, aged 60 to 78 years, mean 65 years, 30 cases of right pneumonia, left pneumonia in 17 cases, bilateral pneumonia 6 example. The average length of stay of 26 days. 1.2 Clinical manifestations of 53 cases occurred in the cold winter season, onset of slow. Cough in 43 cases, of which 12 cases of dry cough, cough white foam sputum in 20 cases, cough yellow purulent sputum in 7 cases, bloody sputum in 4 cases. 6 cases of high fever, fever in 20 cases, normal temperature in 27 cases. Pulmonary dry rales in 14 cases, 18 cases of wet rales, tubular tone in 2 cases, 9 cases of decreased breath sounds, normal breath sounds in 10 cases. Other symptoms were chest pain in 18 cases, chest tightness and shortness of breath in 19 cases, palpitations in 17 cases, nausea and vomiting in 31 cases, anorexia in 24 cases, apathetic in 9 cases, lethargy in 7 cases, headache and dizziness in 10 cases.