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目的:分析基层医院老年肺炎患者的临床特点。方法:回顾性分析某街道卫生院内科收治的312例老年性肺炎患者的临床资料。结果:312例老年性肺炎患者治愈134例,好转148例,无效18例,死亡12例,其中因呼吸衰竭死亡7例,脑血管意外死亡3例,全身多脏器衰竭死亡2例,好转率为90.4%,死亡率为3.8%,治疗过程中出现电解质紊乱13例,心功能不全18例,肾功能不全20例,上消化道出血13例,经对症治疗后均得到改善或治愈。结论:基层医院老年性肺炎患者发病隐匿,临床特征多样且不典型,病因和基础疾病多,需要借助影像学、细菌学、听诊结果的共同佐证,因此需要医生对老年性肺炎引起足够的认识与重视。尽量选择广谱的抗生素治疗,及时正确诊断和治疗,是提高老年性肺炎治愈率、降低病死率、提高患者生活质量的关键。
Objective: To analyze the clinical features of elderly patients with pneumonia in primary hospitals. Methods: The clinical data of 312 cases of senile pneumonia admitted in a street hospital were retrospectively analyzed. Results: A total of 312 cases of senile pneumonia were cured in 134 cases, 148 cases improved, 18 cases were ineffective and 12 cases died. Among them, 7 died of respiratory failure, 3 died of cerebrovascular accident and 2 died of multiple organ failure. The improvement rate The mortality was 3.8%. Electrolyte disorder occurred in 13 cases, heart failure in 18 cases, renal insufficiency in 20 cases and upper gastrointestinal bleeding in 13 cases. After symptomatic treatment, all patients were improved or cured. Conclusions: The incidence of occult pneumonia in grass-rooted hospitals is variable. The clinical features are diverse and atypical. The etiology and underlying diseases are multifarious. They need to be supported by the imaging, bacteriological and auscultatory findings. Therefore, doctors are required to be sufficiently aware of and associated with senile pneumonia Pay attention. Try to choose a broad spectrum of antibiotics, timely and correct diagnosis and treatment, is to improve the cure rate of senile pneumonia, reduce mortality and improve the quality of life of patients is the key.