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1976年美国费城爆发军团菌病(logionaires diseases,LD)以来,引起国内外高度重视,世界各地陆续有病例报道。但有关老年人军团菌肺炎的临床表现特点少有报道。现将1990年4月～1996年6月我院收治的老年人军团菌肺炎35例报告如下。 1 临床资料 1.1 诊断标准:35例老年人军团菌肺炎均符合1992年中华结核和呼吸杂志编委会制定的诊断标准:(1)临床表现具有发热、寒战、咳嗽、胸痛等呼吸道感染症状;(2)X线胸片具有炎症性阴影;(3)血管凝集试验(TAT)检验前后两次抗体滴度呈4倍或以上增高,达1∶160或以上。本组病例符合上述诊断标准。 1.2 一般资料:本组35例中,男26例,女9例,年龄60～78岁,平均年龄68.8岁。
Since the outbreak of logionaires diseases (LD) in Philadelphia in the United States in 1976, great attention has been drawn both at home and abroad and cases have been reported from all over the world. However, there are few reports on the clinical features of Legionella pneumonia in the elderly. Now in April 1990 ~ June 1996 in our hospital admitted to the elderly with Legionella pneumonia in 35 cases reported as follows. 1 Clinical data 1.1 diagnostic criteria: 35 cases of Legionella pneumonia are in line with the 1992 China Journal of Tuberculosis and Respiratory Editorial Board to develop diagnostic criteria: (1) the clinical manifestations of fever, chills, cough, chest pain and other respiratory infections symptoms; ( 2) X-ray chest with inflammatory shadow; (3) twice before or after the blood vessel agglutination test (TAT) test antibody titer was increased 4 times or more, up to 1: 160 or more. The patients in line with the above diagnostic criteria. 1.2 General Information: 35 cases in this group, 26 males and 9 females, aged 60 to 78 years, mean age 68.8 years.